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Organization
MEDICAL ESCORT LLC
Active
Organization
MEDICAL ESCORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE HAYNES (MEDICAL DIRECTOR)
(404) 617-5301
Entity
Organization
Contact information
Practice address
229 RUGGED CREEK DR, STOCKBRIDGE, GA 30281-4568
(404) 617-5301
Mailing address
229 RUGGED CREEK DR, STOCKBRIDGE, GA 30281-4568
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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