Organization
GRAND MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGED HAMDALLA (MEMBER)
(901) 643-4175
Entity
Organization
Contact information
Practice address
1922 EXETER RD, GERMANTOWN, TN 38138-2949
(901) 643-4175
Mailing address
1922 EXETER RD, GERMANTOWN, TN 38138-2949
(901) 643-4175
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/08/2023
Last updated
02/14/2024
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