| NPI | 1790234714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN DONOVAN HAWKINS Owner 770-543-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: GA AMB2016015) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: GA AMB2016015) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: GA AMB2016015) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2017-01-02 |