Healthcare Provider Details

I. General information

NPI: 1053696229
Provider Name (Legal Business Name): NATIONAL RESPONSE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 APPALACHIAN HWY
BLUE RIDGE GA
30513-4967
US

IV. Provider business mailing address

PO BOX 326
JASPER GA
30143-0326
US

V. Phone/Fax

Practice location:
  • Phone: 404-474-7024
  • Fax:
Mailing address:
  • Phone: 404-474-7024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number055-04
License Number StateGA

VIII. Authorized Official

Name: MR. CHRIS ROMINE
Title or Position: CEO
Credential:
Phone: 404-474-7024