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Contact Information

PUCKETT EMERGENCY MEDICAL SERVICES, LLC
3760 TRAMORE POINT PKWY
AUSTELL, GA30106
 Phone: 770-222-5045
 Fax: 770-943-5150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for PUCKETT EMERGENCY MEDICAL SERVICES, LLC

NPI # 1699769158
LBN Legal business name PUCKETT EMERGENCY MEDICAL SERVICES, LLC
Authorized official ROBERT JEWELL - (CHIEF REVENUE INTEGRATION OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2005
Last updated 08/09/2023 - About 3 years ago
Identifiers
GA License # 03343
GA Medicaid 000902107A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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