# EXPRESS MEDICAL TRANSPORTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760002653
- **Authorized official:** KIMBERLEE DEAN (PRESIDENT)
- **Authorized official phone:** (770) 519-3633

## Contact information

- **Practice address:** 7350 HWY 106 SOUTH, STE C, HULL, GA 30646
- **Practice address phone:** (706) 850-0572
- **Mailing address:** 235 MELTON RD, WINTERVILLE, GA 30683-2418
- **Mailing address phone:** (770) 519-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 11/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003238666A | — | GA |