# SOUTHERN CARE MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1912471699
- **Authorized official:** MR. EZRA GRIFFITH (OWNER)
- **Authorized official phone:** (404) 934-3322

## Contact information

- **Practice address:** 519 FOREST PKWY STE 240, FOREST PARK, GA 30297-6113
- **Practice address phone:** (404) 934-3322
- **Practice address fax:** (678) 732-9238
- **Mailing address:** 519 FOREST PKWY STE 240, FOREST PARK, GA 30297-6113
- **Mailing address phone:** (404) 934-3322
- **Mailing address fax:** (678) 732-9238

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2019
- **Last updated:** 09/05/2025