Organization
PUCKETT EMERGENCY MEDICAL SERVICES, LLC
Active
Other names
PUCKETT EMERGENCY MEDICAL SERVICES, PUCKETT EMERGENCY MEDICAL SERVICES, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A JEWELL (CHIEF REVENUE INTEGRATION OFFICER)
(844) 597-4911
Entity
Organization
Contact information
Practice address
5603 RINGGOLD RD, EAST RIDGE, TN 37412-3131
(423) 894-1800
(770) 943-5150
Mailing address
PO BOX 650523, DALLAS, TX 75265-0523
(844) 597-4911
(866) 687-2796
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
10123
TN
3416L0300X
Land Ambulance
Primary
10123
TN
Other
Enumeration date
02/24/2010
Last updated
08/09/2023
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