Organization
ELITE AMBULANCE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEDRICK MARCUS (OWNER)
(478) 845-8500
Entity
Organization
Contact information
Practice address
152 NEW ST STE 103E, MACON, GA 31201-7304
(478) 845-8500
Mailing address
162 ELDORADO DR, MACON, GA 31217-8615
(478) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
AMB2017026
GA
Other
Enumeration date
11/14/2017
Last updated
01/31/2018
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