Organization · Type 2 NPI

Georgia Medport LLC

Land Ambulance · Gainesville, GA

NPI number 1619118015 Active

Practice location

1002 Chestnut St SE, Suite A
Gainesville, GA 30501-6909

Call (770) 535-2601 Map

Fax (770) 535-2602

Mailing address

PO Box 2306
Gainesville, GA 30503-2306

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X069-19 (GA)
Non-emergency Medical Transport (VAN) 343900000XNone listed

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About NPI 1619118015

Georgia Medport LLC's National Provider Identifier is 1619118015, issued on Mar 13, 2009. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Gainesville, GA. The record was last updated on May 29, 2012.