Organization
CODE 3 MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MARK DAY (CEO)
(678) 736-0520
Entity
Organization
Contact information
Practice address
938 ASHTON PARK DRIVE SE, LAWRENCEVILLE, GA 30045
(678) 736-0520
Mailing address
938 ASHTON PARK DRIVE SE, LAWRENCEVILLE, GA 30045
(678) 736-0520
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
050324694
GA
Other
Enumeration date
05/11/2009
Last updated
05/12/2009
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