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NPI 1518588250

NPI 1518588250 : B AND D MEDICAL TRANSPORTATION : DOUGLASVILLE, GA

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General NPI Number Information
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    NPI Number           |    1518588250
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    Entity Type          |    Organization 
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    Legal Business Name  |    B AND D MEDICAL TRANSPORTATION 
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Dates
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    Enumeration Date     |    05/05/2020
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    8321 OFFICE PARK DR 
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    City                 |    DOUGLASVILLE
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    State                |    GA
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    Zip                  |    30134-6936
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    Country              |    US
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    Telephone            |    404-566-1098
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    Fax                  |    470-377-4978
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Provider Business Mailing Address
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    Address Line         |    8321 OFFICE PARK DR 
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    City                 |    DOUGLASVILLE
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    State                |    GA
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    Zip                  |    30134-6936
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    Country              |    US
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    Telephone            |    678-932-6157
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JATHAN  DORTCH 
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    Credential           |    
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    Telephone            |    678-932-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    
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    License Number State |    
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