Organization
CRITICAL CARE MEDFLIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GUSTAFSON (MEDFLIGHT DIRECTOR)
(770) 513-9148
Entity
Organization
Contact information
Practice address
530 BRISCOE BLVD, LAWRENCEVILLE, GA 30045-4637
(770) 513-9148
(770) 513-0249
Mailing address
530 BRISCOE BLVD, LAWRENCEVILLE, GA 30045-4637
(770) 513-9148
(770) 513-0249
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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