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Contact Information

GA PEACH MEDICAL TRANSPORTATION, LLC
5023 HIGHWAY 85
FOREST PARK, GA30297
 Phone: 678-705-8076
 Fax: 678-705-8079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for GA PEACH MEDICAL TRANSPORTATION, LLC

NPI Number 1548747173
LBN Legal business name GA PEACH MEDICAL TRANSPORTATION, LLC
Authorized official DENNIS MIDDLEBROOKS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2018
Last updated 07/26/2018 - About 8 years ago
Identifiers n/a
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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