Organization
FROM THE HEART OF GEORGIA LLC
Active
Organization
FROM THE HEART OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MOORE (OWNER)
(478) 469-3061
Entity
Organization
Contact information
Practice address
1622 COW FORD BRIDGE RD, KITE, GA 31049-6219
(478) 494-3061
Mailing address
1622 COWFORD BRIDGE, KITE, GA 31049
(478) 494-3061
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
050252496
GA
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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