Healthcare Provider Details

I. General information

NPI: 1033970835
Provider Name (Legal Business Name): GCAT EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 SOSEBEE FARM RD UNIT 119
GRAYSON GA
30017-0101
US

IV. Provider business mailing address

516 SOSEBEE FARM RD UNIT 119
GRAYSON GA
30017-0101
US

V. Phone/Fax

Practice location:
  • Phone: 770-765-5272
  • Fax:
Mailing address:
  • Phone: 770-765-5272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHZANDRA HAYES
Title or Position: OFFICE MANAGER
Credential:
Phone: 678-925-1503