Organization
GRACE CARE AMBULANCE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLTON THEODORE ANTHONY (OWNER)
(404) 585-4857
Entity
Organization
Contact information
Practice address
2372 S STONE MOUNTAIN RD., STE D, LITHONIA, GA 30058
(404) 585-4857
(404) 521-4686
Mailing address
2372 S STONE MOUNTAIN RD, SUITE D, LITHONIA, GA 30058
(404) 585-4857
(404) 393-4041
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
05/28/2025
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