NPI 1003112392

Prodigy Health Systems INC.,

Organisation Ambulance Kennesaw, GA

Practice location

Address: 2670 Cobb Pkwy NW, Kennesaw, GA 30152-3443
Phone: (770) 891-3346
Fax: (770) 514-9665

Authorised official

Name: Amir N Adiri
Title: President
Phone: (770) 891-3346

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 033-32 (GA)

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Registry record

NPI: 1003112392
Entity type: Organization
NPI issued: 3 Feb 2011
Record last updated: 3 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.