Organization
D-SQUARED MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J DAVIS (REPRESENTATIVE)
(678) 488-4630
Entity
Organization
Contact information
Practice address
289 JONESBORO RD, STE 321, MCDONOUGH, GA 30253-3725
(678) 488-4630
(866) 812-6790
Mailing address
289 JONESBORO RD, STE 321, MCDONOUGH, GA 30253-3725
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
08/10/2010
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