Organization
A WORLD OR TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE JEROME MILLER (OWNER)
(770) 262-9477
Entity
Organization
Contact information
Practice address
6021 RIVERDALE RD, R, COLLEGE PARK, GA 30349-6205
(770) 262-1738
(770) 907-7697
Mailing address
6831 SANDY CREEK DR, RIVERDALE, GA 30274-2429
(770) 262-9477
(770) 907-9883
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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