Organization
MEDSTAR EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN F VANN (PRESIDENT/CEO)
(404) 319-6038
Entity
Organization
Contact information
Practice address
8321 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6936
(404) 319-6038
Mailing address
1375 PRITCHETT INDUSTRIAL BLVD, AUSTELL, GA 30168-5520
(404) 319-6038
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
04/15/2020
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