Organization
SR MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY E SHIDELER EMT-I (PARTNER)
(678) 617-9234
Entity
Organization
Contact information
Practice address
5522 STONE TRCE, GAINESVILLE, GA 30504-8151
(678) 617-9234
Mailing address
5522 STONE TRCE, GAINESVILLE, GA 30504-8151
(678) 617-9234
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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