Organization
TACTICAL MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRMAUL WILSON (MANAGER)
(678) 832-8561
Entity
Organization
Contact information
Practice address
4284 MEMORIAL DR STE D, DECATUR, GA 30032-1220
(678) 832-8561
Mailing address
4284 MEMORIAL DR STE D, DECATUR, GA 30032-1220
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/12/2021
Last updated
06/15/2021
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