# PALMS MEDICAL TRANSPORT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palms
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790911444
- **Authorized official:** MAURICE GRAYSON (CO-OWNER)
- **Authorized official phone:** (478) 654-6025

## Contact information

- **Practice address:** 102 CHURCH ST, BYRON, GA 31008
- **Practice address phone:** (478) 654-6025
- **Practice address fax:** (866) 583-6316
- **Mailing address:** PO BOX 843, BYRON, GA 31008
- **Mailing address phone:** (478) 654-6025
- **Mailing address fax:** (866) 583-6316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 087-04 | GA | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 04/28/2022