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Organization

DEDICATED NON-EMERGENCY TRANSPORTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WARDALE BIRCH (CEO)
(770) 831-3009
Entity
Organization

Contact information

Practice address
2381 WALKERS GLEN LN, BUFORD, GA 30519-9205
(770) 831-3009
(678) 278-0944
Mailing address
2381 WALKERS GLEN LN, BUFORD, GA 30519-9205
(770) 831-3009
(678) 278-0944

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2008018597
GA

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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