Organization
ATLANTA LUXURY COACH
Active
Other names
Atlanta Medi Transport
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LEWIS-LONG (CEO)
(917) 627-6369
Entity
Organization
Contact information
Practice address
1100 PEACHTREE ST NE STE 200, ATLANTA, GA 30309-4503
(404) 795-6038
Mailing address
1100 PEACHTREE ST NE STE 200, ATLANTA, GA 30309-4503
(404) 795-6038
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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