Organization
MED STAT EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FOWLER (DIRECTOR)
(931) 723-4082
Entity
Organization
Contact information
Practice address
122 PARADISE ST, MANCHESTER, TN 37355-7817
(931) 723-4082
Mailing address
122 PARADISE ST, MANCHESTER, TN 37355-7817
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10000
TN
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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