Healthcare Provider Details

I. General information

NPI: 1154628592
Provider Name (Legal Business Name): ACCESS MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HUNTINGTON PLACE DR
ATLANTA GA
30350-1811
US

IV. Provider business mailing address

8 HUNTINGTON PLACE DR
ATLANTA GA
30350-1811
US

V. Phone/Fax

Practice location:
  • Phone: 404-551-0760
  • Fax:
Mailing address:
  • Phone: 404-551-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. AMIEYEOFORI GEORGE
Title or Position: DIRECTOR
Credential:
Phone: 404-551-0760