NPI | 1063843597 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ALAN CORMIER Director 770-709-1462 |
Organization Subpart ? | No |
Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: GA 075-13) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2013-12-10 |