Organization
MEDEX OF GEORGIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS MITCHELL KIRKLAND (PRESIDENT)
(478) 737-0094
Entity
Organization
Contact information
Practice address
101 BELLAMY PL, STOCKBRIDGE, GA 30281-4458
(678) 565-6339
(678) 565-6331
Mailing address
101 BELLAMY PL, STOCKBRIDGE, GA 30281-4458
(678) 565-6339
(678) 565-6331
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
075-11
GA
Other
Enumeration date
02/21/2013
Last updated
11/21/2013
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