NPI 1164816336

Urgent Care Medical Transport, Corp

Organisation Land Ambulance Lithonia, GA

Practice location

Address: 2442 Stone Mountain Lithonia Rd STE E, Lithonia, GA 30058-5247
Phone: (904) 415-9427

Authorised official

Name: Ashley Nicole Wilson
Title: Owner
Phone: (904) 415-9427

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 044-35 (GA)

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Registry record

NPI: 1164816336
Entity type: Organization
NPI issued: 25 Mar 2015
Record last updated: 25 Mar 2015

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.