Organization
URGENT CARE MEDICAL TRANSPORT, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY NICOLE WILSON (OWNER)
(904) 415-9427
Entity
Organization
Contact information
Practice address
2442 STONE MOUNTAIN LITHONIA RD, STE E, LITHONIA, GA 30058-5247
(904) 415-9427
Mailing address
2442 STONE MOUNTAIN LITHONIA RD STE E, LITHONIA, GA 30058-5247
(904) 415-9427
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
044-35
GA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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