Organization
CITY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LITA KING (EMS DIRECTOR)
(770) 389-5329
Entity
Organization
Contact information
Practice address
110 EAGLES WALK STE 200, STOCKBRIDGE, GA 30281-7281
(770) 389-5329
Mailing address
110 EAGLES WALK, SUITE 200, STOCKBRIDGE, GA 30281-7204
(770) 389-5329
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
075-05
GA
Other
Enumeration date
09/28/2006
Last updated
07/18/2007
Update your record
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