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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