Organization
SOUTH STAR TRANSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA FAYONNE OWENS (OWNER)
(404) 322-7089
Entity
Organization
Contact information
Practice address
3675 CRESTWOOD PKWY NW, DULUTH, GA 30096-1805
(404) 322-7089
(866) 717-2986
Mailing address
PO BOX 135, LILBURN, GA 30048-0135
(404) 322-7089
(866) 717-2986
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
600165
GA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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