Organization
MED-TRAK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FIELDS (CEO)
(770) 875-8461
Entity
Organization
Contact information
Practice address
2395 WALL ST SE STE 195, CONYERS, GA 30013-6703
(770) 875-8461
Mailing address
5672 SAINT THOMAS DR, LITHONIA, GA 30058-7809
(770) 875-8461
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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