Provider Demographics
NPI:1265034037
Name:GEORGIA MEDICAL TRANSPORTATION, IINC.
Entity Type:Organization
Organization Name:GEORGIA MEDICAL TRANSPORTATION, IINC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-338-6237
Mailing Address - Street 1:PO BOX 6375
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-6375
Mailing Address - Country:US
Mailing Address - Phone:706-286-9610
Mailing Address - Fax:706-286-9615
Practice Address - Street 1:1353 JENNINGS MILL RD
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7290
Practice Address - Country:US
Practice Address - Phone:706-286-9610
Practice Address - Fax:706-286-9615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)