Life Shield Ems

NPI #1063715738 in Lake City, Georgia

Provider Information

NPI Number: 1063715738
Entity Type: Organization
Organization Name: Life Shield Ems
Primary Specialty: Ambulance
Enumeration Date: Dec 17, 2010
Last Updated: Feb 18, 2014

Practice Location

Address: 1158 FOREST PKWY
Address 2: SUITE A
City: Lake City
State: Georgia
ZIP Code: 30260-3464
Phone: (678) 814-4550

Authorized Official

Name: MR. STEVE THACH
Title: CEO
Phone: (678) 814-4550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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