Organization
FALCON TRANSPORT GA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNE BENONS (OPERATIONS MANAGER)
(678) 373-8960
Entity
Organization
Contact information
Practice address
11925 LEXINGTON WOODS DR, ALPHARETTA, GA 30005-6755
(678) 373-8960
Mailing address
11106 SUPERIOR LNDG, BOWIE, MD 20720-3491
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
500749
GA
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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