Organization
TOTAL MED TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P GRANT (CEO)
(404) 310-3078
Entity
Organization
Contact information
Practice address
1099 PRINCETON PARK DR, LITHONIA, GA 30058-3070
(404) 310-3078
Mailing address
1099 PRINCETON PARK DR, LITHONIA, GA 30058-3070
(404) 310-3078
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8314568939
NON EMERGENCY TRANSPORTION
GA
Enumeration date
10/15/2018
Last updated
10/15/2018
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