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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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