Organization
PIPER MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY MICHAEL SISK (PRESIDENT)
(678) 997-1142
Entity
Organization
Contact information
Practice address
2793 HIGHWAY 82 S, JEFFERSON, GA 30549-5104
(678) 997-1142
(706) 367-9753
Mailing address
2793 HIGHWAY 82 S, JEFFERSON, GA 30549-5104
(678) 997-1142
(706) 367-9753
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MCA606804
GA
Other
Enumeration date
04/07/2012
Last updated
04/07/2012
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