Healthcare Provider Details

I. General information

NPI: 1134453426
Provider Name (Legal Business Name): GEORGIA TRANS CARE SVCS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2009
Last Update Date: 09/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3166 CHESTNUT DRIVE CONN SUITE 102
ATLANTA GA
30340-3242
US

IV. Provider business mailing address

3166 CHESTNUT DRIVE CONN SUITE 102
ATLANTA GA
30340-3242
US

V. Phone/Fax

Practice location:
  • Phone: 404-424-4918
  • Fax: 770-783-8522
Mailing address:
  • Phone: 404-424-4918
  • Fax: 770-783-8522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MOISES XAVIER MORALES
Title or Position: OWNER
Credential: M.B.A.
Phone: 770-330-5300