Organization
FAMILY MEDICAL TRANSPORT, LLC
Active
Organization
FAMILY MEDICAL TRANSPORT, LLC
Active
Other names
Family Medical Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN M FANALE EMT-INTERMEDIATE (VICE PRESIDENT)
(770) 503-4411
Entity
Organization
Contact information
Practice address
4562 WINDSTONE CT, GAINESVILLE, GA 30507-8111
(770) 503-4411
(678) 267-3137
Mailing address
4562 WINDSTONE CT, GAINESVILLE, GA 30507-8111
(770) 503-4411
(678) 267-3137
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
25422
GA
Other
Enumeration date
12/06/2006
Last updated
10/23/2007
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