| NPI | 1952498776 |
|---|---|
| Doing Business As | CLARK AMBULANCE SERVICE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T CLARK President 770-445-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: GA 11006) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: GA 11006) |
| 146N00000X Emergency Medical Technician, Basic (Licence: GA 11006) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-02-01 |