Organization
A&G MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FORNECCEA THOMAS (OWNER)
(318) 433-0647
Entity
Organization
Contact information
Practice address
163 CAMELLIA PL, GRAMBLING, LA 71245-2320
(318) 433-0647
Mailing address
163 CAMELLIA PL, GRAMBLING, LA 71245-2320
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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