Organization
PRIME MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE POUR (OWNER)
(678) 668-9160
Entity
Organization
Contact information
Practice address
3122 KIRKWOOD DR NW, KENNESAW, GA 30144-2354
(678) 668-9160
Mailing address
3122 KIRKWOOD DR NW, KENNESAW, GA 30144-2354
(678) 668-9160
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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