Organization · Type 2 NPI
Deployed Tactics
Emergency Care Clinic/Center · Stockbridge, GA
NPI number
1558091967
Active
Practice location
40 Judy Ct Ph A
Stockbridge, GA 30281-3876
Mailing address
40 Judy Ct # B
Stockbridge, GA 30281-3876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Emergency Care Clinic/Center Primary | 261QE0002X | None listed |
| Federal Public Health Clinic/Center | 261QP0904X | None listed |
| State or Local Public Health Clinic/Center | 261QP0905X | None listed |
| Ambulance | 341600000X | None listed |
| Land Ambulance | 3416L0300X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Emergency Care Clinic/Center: Definition to come...
About NPI 1558091967
Deployed Tactics's National Provider Identifier is 1558091967, issued on Jun 16, 2022. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Stockbridge, GA. The record was last updated on Jun 16, 2022.