Organization
PRIME CARE TRANSPORTATION PROVIDER CORPORATION
Active
Organization
PRIME CARE TRANSPORTATION PROVIDER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD GORDON (PRESIDENT)
(470) 850-0488
Entity
Organization
Contact information
Practice address
5847 JAMERSON DR, ATLANTA, GA 30349-7018
(917) 332-6008
Mailing address
5847 JAMERSON DR, ATLANTA, GA 30349-7018
(917) 332-6008
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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