SUPREME MEDICAL TRANSPORTATION LLC NPI 1427562479

NPI Information

NPI: 1427562479
Provider Name: SUPREME MEDICAL TRANSPORTATION LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
5241 W FAYETTEVILLE RD STE A
ATLANTA, GA
ZIP 30349
Phone: (404) 337-2731
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SUPREME MEDICAL TRANSPORTATION LLC is a land transport ambulance in Atlanta, GA. SUPREME MEDICAL TRANSPORTATION LLC NPI is 1427562479. The provider is registered as an organization entity type.

The provider's business location address is:

5241 W FAYETTEVILLE RD STE A
ATLANTA, GA
ZIP 30349-413
Phone: (404) 337-2731

The provider's authorized official is Dyshann Mack .
The authorized official title is Owner and has the following contact phone number (404) 337-2731.

The enumeration date for this NPI number is 11/29/2017 and was last updated on 4/23/2018.

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	3416L0300X	Ambulance	Land Transport	AMB2018013	GEORGIA	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: 4/28/2024

NPI Synchronization or Removal

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