Organization
RED GROUP LLC
Active
Other names
United Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DERRICK ISHAM (CHIEF EXECUTIVE OFFICER)
(770) 866-2120
Entity
Organization
Contact information
Practice address
5292 OAKDALE RD SE, SUITE 7, SMYRNA, GA 30082-5245
(770) 866-2120
Mailing address
3660 SHOPE RD, GAINESVILLE, GA 30506-3267
(770) 866-2120
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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