Provider Demographics
NPI:1316183742
Name:METRO SOUTH EMERGENCY MEDICAL SERVICES
Entity Type:Organization
Organization Name:METRO SOUTH EMERGENCY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-961-1911
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-0667
Mailing Address - Country:US
Mailing Address - Phone:770-968-1911
Mailing Address - Fax:678-302-7675
Practice Address - Street 1:3230 HIGHWAY 42
Practice Address - Street 2:SUITE F
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4667
Practice Address - Country:US
Practice Address - Phone:770-968-1911
Practice Address - Fax:678-302-7675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-22341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance