Organization
GUARDIAN MEDICAL TRANSPORT LLC
Active
Other names
Guardian Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EVANS (OWNER/PRESIDENT)
(678) 603-1637
Entity
Organization
Contact information
Practice address
500 LANIER AVE W, UNIT 505, FAYETTEVILLE, GA 30214-7636
(678) 545-6189
(770) 461-9459
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
060-77
GA
Other
Enumeration date
05/05/2011
Last updated
09/18/2014
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