Healthcare Provider Details

I. General information

NPI: 1841915451
Provider Name (Legal Business Name): SELECT CHOICE TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 FLAT SHOALS PKWY STE 404
DECATUR GA
30034-5038
US

IV. Provider business mailing address

PO BOX 80021
ATLANTA GA
30366-0021
US

V. Phone/Fax

Practice location:
  • Phone: 404-953-0457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHAH MAPP
Title or Position: CEO
Credential:
Phone: 404-953-0457