Organization
MEDSTAT EMERGENCY MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON DEVON HILL EMT-PARAMEDIC (VICE PRESIDENT AND DIRECTOR)
(404) 763-2273
Entity
Organization
Contact information
Practice address
2975 METROPOLITAN PKWY SW, SUITE A, ATLANTA, GA 30315-7917
(404) 763-2273
(404) 305-9626
Mailing address
PO BOX 962170, RIVERDALE, GA 30296-6918
(404) 763-2273
(404) 305-9626
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
060-52
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000372039A
—
GA
01
—
85057759AA
PTAN
GA
Enumeration date
06/17/2006
Last updated
06/14/2013
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