# MEDIXX TRANSPORT, LLC

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

## Provider details

- **NPI number:** 1861765745
- **Authorized official:** MR. JOHN WELCH (DIRECTOR)
- **Authorized official phone:** (912) 538-8505

## Contact information

- **Practice address:** 5940 GA HIGHWAY 29, SOPERTON, GA 30457-5232
- **Practice address phone:** (912) 538-8505
- **Practice address fax:** (912) 538-8545
- **Mailing address:** PO BOX 1983, VIDALIA, GA 30475-1983
- **Mailing address phone:** (912) 538-8505
- **Mailing address fax:** (912) 538-8545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 140-06 | GA | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 07/07/2016