Vital Care Medical Transport LLC

NPI #1104400266 in Tucker, Georgia

Provider Information

NPI Number: 1104400266
Entity Type: Organization
Organization Name: Vital Care Medical Transport LLC
Primary Specialty: Ambulance
Enumeration Date: May 5, 2021
Last Updated: May 5, 2021

Practice Location

Address: 2227 IDLEWOOD RD STE 202
City: Tucker
State: Georgia
ZIP Code: 30084-4827
Phone: (770) 365-7370

Authorized Official

Name: DR. MACKENZIE HOUGE, PHARMD
Title: OWNER
Phone: (770) 365-7370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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