Provider Demographics
NPI:1083988349
Name:ATLAS AMBULANCE INC
Entity Type:Organization
Organization Name:ATLAS AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELGHANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-840-1950
Mailing Address - Street 1:6961 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 102H
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3647
Mailing Address - Country:US
Mailing Address - Phone:770-840-1950
Mailing Address - Fax:770-840-1955
Practice Address - Street 1:6961 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 102H
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3647
Practice Address - Country:US
Practice Address - Phone:770-840-1950
Practice Address - Fax:770-840-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067-163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport