Healthcare Provider Details

I. General information

NPI: 1932942877
Provider Name (Legal Business Name): SINCERE TRANSPORT EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 JONESBORO RD STE E
MCDONOUGH GA
30253-3169
US

IV. Provider business mailing address

110 WALTER WAY UNIT 1216
STOCKBRIDGE GA
30281-9509
US

V. Phone/Fax

Practice location:
  • Phone: 404-849-7162
  • Fax:
Mailing address:
  • Phone: 404-849-7162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: PATRICK LEE PARKER JR.
Title or Position: OWNER
Credential:
Phone: 404-849-7162