TACTICAL MEDICAL TRANSPORT LLC NPI 1205411006

NPI Information

NPI: 1205411006
Provider Name: TACTICAL MEDICAL TRANSPORT LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
4284 MEMORIAL DR STE D
DECATUR, GA
ZIP 30032
Phone: (678) 832-8561
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TACTICAL MEDICAL TRANSPORT LLC is a land transport ambulance in Decatur, GA. TACTICAL MEDICAL TRANSPORT LLC NPI is 1205411006. The provider is registered as an organization entity type.

The provider's business location address is:

4284 MEMORIAL DR STE D
DECATUR, GA
ZIP 30032-220
Phone: (678) 832-8561

The provider's authorized official is Shirmaul Wilson .
The authorized official title is Manager and has the following contact phone number (678) 832-8561.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes
2	343900000X	Non-emergency Medical Transport (VAN)				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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