# LIFE EMERGENCY MEDICAL SERVICES, LLC.

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

## Provider details

- **NPI number:** 1982252193
- **Authorized official:** WALKER WADDY (PRESIDENT)
- **Authorized official phone:** (404) 539-3146

## Contact information

- **Practice address:** 212 POWERS FERRY RD SE, MARIETTA, GA 30067-7560
- **Practice address phone:** (404) 539-3146
- **Mailing address:** PO BOX 207, COMMERCE, GA 30529-0004

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2019
- **Last updated:** 08/30/2019
