Organization
SEAZONED MED TRANSPORTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN H GLENN (PRESIDENT)
(404) 493-3133
Entity
Organization
Contact information
Practice address
2809 SMITH STREET, FORT WAYNE, IN 46806
(404) 493-3133
(770) 693-8888
Mailing address
4275 ANDERSON RIDGE WAY, AUSTELL, GA 30106-1892
(404) 493-3133
(770) 693-8888
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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