Organization
AMAZING GRACE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHARLESTON (CFO)
(770) 316-7189
Entity
Organization
Contact information
Practice address
519 MOUNT PLEASANT RD, THOMSON, GA 30824-8140
(770) 316-7189
(770) 316-7189
Mailing address
6724 CHURCH ST STE 1, RIVERDALE, GA 30274-4711
(770) 316-7189
(770) 991-5012
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
GA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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