Healthcare Provider Details
I. General information
NPI: 1831871177
Provider Name (Legal Business Name): REAL RELIABLE MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2023
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1129 HOSPITAL DR STE 7G
STOCKBRIDGE GA
30281-6393
US
IV. Provider business mailing address
1129 HOSPITAL DR STE 7G
STOCKBRIDGE GA
30281-6393
US
V. Phone/Fax
- Phone: 770-897-4735
- Fax:
- Phone: 770-897-4735
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHAEL
SPRINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 860-480-7018