# FAITH MEDICAL TRANSPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1881254027
- **Authorized official:** TARA D WILSON (CEO)
- **Authorized official phone:** (404) 787-0157

## Contact information

- **Practice address:** 270 ESKEW RD, MCDONOUGH, GA 30252-5605
- **Practice address phone:** (678) 759-2915
- **Mailing address:** 270 ESKEW RD, MCDONOUGH, GA 30252-5605
- **Mailing address phone:** (678) 759-2915

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2019
- **Last updated:** 10/23/2020