Healthcare Provider Details

I. General information

NPI: 1922920347
Provider Name (Legal Business Name): GOLDEN CARE MEDICAL TRANSPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3772 PLEASANDALE RD. STE 148
ATLANTA GA
30340
US

IV. Provider business mailing address

3772 PLEASANDALE RD. STE 148
ATLANTA GA
30340
US

V. Phone/Fax

Practice location:
  • Phone: 470-354-6970
  • Fax:
Mailing address:
  • Phone: 470-354-6970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHIRMAUL ANDREW WILSON
Title or Position: CEO
Credential:
Phone: 770-344-7696