Organization
MARY'S NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA GOURDET (DIRECTOR)
(678) 902-6368
Entity
Organization
Contact information
Practice address
2529 PLYMOUTH WAY, CONYERS, GA 30013-6399
(678) 902-6368
(404) 745-0007
Mailing address
2274 SALEM RD SE STE 106-169, CONYERS, GA 30013-2097
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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