MEDICARE: CARE STAR EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1376111948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE STAR EMS

Provider Business Mailing Address
First Line	:	3269 HIGHWAY 42
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-4446
Country	:	US
Telephone Number	:	404-667-0007
Fax Number	:

Provider Business Practice Location Address
First Line	:	3269 HIGHWAY 42
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-4446
Country	:	US
Telephone Number	:	404-667-0007
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRANDON BROWN
Credential	:
Telephone Number	:	404-667-0007

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	06/11/2021

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Directions to “CARE STAR EMS ” Practice Location

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