Organization
UNITED MEDICAL RESPONSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DERRICK ISHAM (CHIEF EXECUTIVE OFFICER)
(770) 866-2120
Entity
Organization
Contact information
Practice address
2425 JASON INDUSTRIAL PKWY, WINSTON, GA 30187
(770) 672-6434
(205) 993-4090
Mailing address
515 E CROSSVILLE RD, SUITE 170, ROSWELL, GA 30075-3087
(770) 299-1516
(770) 299-1518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
GA
Other
Enumeration date
08/14/2009
Last updated
07/12/2018
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