Organization
REDSTAR EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MAX GRANTHAM II EMT (OWNER)
(706) 308-8248
Entity
Organization
Contact information
Practice address
132 PICASSO DR, WINTERVILLE, GA 30683-4377
(706) 308-8248
Mailing address
132 PICASSO DR, WINTERVILLE, GA 30683-4377
(706) 308-8248
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12345
GA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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