Organization
GA PEACH MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS TYRONE MIDDLEBROOKS (CEO)
(678) 705-8076
Entity
Organization
Contact information
Practice address
5023 HIGHWAY 85, FOREST PARK, GA 30297
(678) 705-8076
(678) 705-8079
Mailing address
5023 GA HIGHWAY 85, FOREST PARK, GA 30297-2431
(678) 705-8076
(678) 705-8079
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
GA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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