Organization
PEACH STATE MOBILITY LLC
Active
Organization
PEACH STATE MOBILITY LLC
Active
Other names
Peachstate medical transport
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CAMPBELL (OWNER)
(585) 957-1001
Entity
Organization
Contact information
Practice address
5154 BROWN LEAF WAY, POWDER SPRINGS, GA 30127-8910
(770) 693-7579
(770) 693-7612
Mailing address
5154 BROWN LEAF WAY, POWDER SPRINGS, GA 30127-8910
(770) 693-7579
(770) 693-7612
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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