Organization
ULTIMATE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEREN ROGERS (OWNER)
(678) 860-4253
Entity
Organization
Contact information
Practice address
5026 SNAPFINGER WOODS DR, DECATUR, GA 30035-4063
(678) 622-2538
Mailing address
2605 KINNETT DR SW, LILBURN, GA 30047-5709
(678) 622-2538
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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