Organization
CITY OF FOREST PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED SMITH (INTERIM EMS DIRECTOR)
(470) 947-2194
Entity
Organization
Contact information
Practice address
4539 JONESBORO RD, FOREST PARK, GA 30297-3542
(404) 608-2383
(404) 608-2385
Mailing address
4539 JONESBORO RD, FOREST PARK, GA 30297-3542
(404) 608-2373
(404) 608-2385
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000243933A
—
GA
Enumeration date
12/06/2005
Last updated
06/26/2025
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