Organization
JOHNSON MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON (OWNER)
(912) 537-2909
Entity
Organization
Contact information
Practice address
6067 LYONS CENTER RD, VIDALIA, GA 30474-9605
(912) 537-2907
(912) 537-4329
Mailing address
6067 LYONS CENTER RD, VIDALIA, GA 30474-9605
(912) 537-2907
(912) 537-4329
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
02/05/2023
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