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Organization

PUCKETT MED VAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT A JEWELL (CHIEF REVENUE INTEGRATION OFFICER)
(844) 597-4911
Entity
Organization

Contact information

Practice address
5603 RINGGOLD ROAD, EAST RIDGE, TN 37412
(423) 894-4407
(770) 943-5150
Mailing address
3760 TRAMORE POINTE PKWY, AUSTELL, GA 30106
(770) 222-5045
(770) 943-5150

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
09/25/2013
Last updated
08/09/2023
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