Organization
VITAL CARE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACKENZIE HOUGE PHARMD (OWNER)
(770) 365-7370
Entity
Organization
Contact information
Practice address
2227 IDLEWOOD RD STE 202, TUCKER, GA 30084-4827
(770) 365-7370
Mailing address
PO BOX 2938, TUCKER, GA 30085-2938
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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