Honorable Of Atlanta

NPI 1003231721 - Ambulance - 3416L0300X

NPI Details
NPI 1003231721
Enumeration Date 03/04/2014
Last Updated 10/13/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TONY TONY
Position CEO
Phone (404) 670-3858
Fax
Practice Location
5514 FRONTIER CT
ELLENWOOD GA, 30294-4387, US
Phone (404) 670-3858
Fax
Business Location
5514 FRONTIER CT
ELLENWOOD GA, 30294-4387, US
Phone (404) 670-3858
Fax (678) 759-1896
Toxanomy
Taxonomy Code 3416L0300X
License State Georgia
License Number 1
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According to our database, Honorable Of Atlanta NPI is 1003231721, taxonomy code is 3416L0300X and license number is 1, license state is located at Georgia. Honorable Of Atlanta physically located at 5514 Frontier Ct, Ellenwood GA, 30294-4387. NPI Number 1033115704 has the healthcare provider type.

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1003231721 NPI number is provided on an as is basis without warranty of any kind. 1003231721 is maintained by the National Plan & Provider Enumeration System. The contents of Honorable Of Atlanta are for informational purposes only.