Organization · Type 2 NPI
Braveheart Medical Response LLC
Land Ambulance · Lilburn, GA
NPI number
1558892000
Active
Practice location
650 Hillcrest Rd NW, Suite 100
Lilburn, GA 30047-1711
Fax (770) 802-4702
Mailing address
528 Forest Pkwy Ste E
Forest Park, GA 30297-6109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | AMB2017007 (GA) |
Land Ambulance: Definition to come...
About NPI 1558892000
Braveheart Medical Response LLC's National Provider Identifier is 1558892000, issued on Mar 27, 2017. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Lilburn, GA. The record was last updated on Oct 28, 2019.