| NPI | 1427562479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYSHANN MACK Owner 404-337-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: GA AMB2018013) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2018-04-23 |