Organization
SELECT CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRICH ANTWONE MOSS (CEO)
(678) 431-6812
Entity
Organization
Contact information
Practice address
2426 PARK CENTRAL BLVD, DECATUR, GA 30035-3901
(678) 431-6812
(866) 371-3489
Mailing address
2426 PARK CENTRAL BLVD, DECATUR, GA 30035-3901
(678) 431-6812
(866) 371-3489
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
044-33
GA
3416L0300X
Land Ambulance
60
GA
Other
Enumeration date
09/12/2012
Last updated
10/24/2014
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