Organization
THOMASVILLE BROKERAGE
Active
Other names
aa transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATLEMISIA MA'KARA ANDERSON (PRESIDENT)
(229) 379-1007
Entity
Organization
Contact information
Practice address
1304 E JACKSON ST, THOMASVILLE, GA 31792-4749
(229) 379-1007
(229) 236-0134
Mailing address
1304 E JACKSON ST, THOMASVILLE, GA 31792-4749
(229) 379-1007
(229) 236-0134
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
GA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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