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Organization

PALMS SOUTH LLC

Active
Parent organization
PALMS MEDICAL TRANSPORT, LLC
Other names
P.A.L.M.S. Medical Transport
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMS MEDICAL TRANSPORT, LLC
Authorized official
MR. MAURICE GRAYSON (CEO)
(404) 510-4786
Entity
Organization

Contact information

Practice address
108 WEBSTER ST, VALDOSTA, GA 31601-4616
(404) 510-4786
Mailing address
PO BOX 843, BYRON, GA 31008-0843
(404) 510-4786

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
GA

Other

Enumeration date
10/09/2013
Last updated
10/10/2013
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