Organization
TRANSPORT AMERICA AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DARLENE FLANAGAN DO (CFO)
(912) 805-2006
Entity
Organization
Contact information
Practice address
603 BROGDON ST, VIDALIA, GA 30474-6031
(902) 805-2007
(912) 805-2004
Mailing address
PO BOX 1872, VIDALIA, GA 30475-1872
(912) 805-2006
(912) 805-2004
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
076-02
GA
Other
Enumeration date
09/12/2012
Last updated
06/24/2021
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