Provider Demographics
NPI:1407088073
Name:ADVANTAGE MEDICAL TRANPSORTATION INC.
Entity Type:Organization
Organization Name:ADVANTAGE MEDICAL TRANPSORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARABLE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:770-274-9846
Mailing Address - Street 1:PO BOX 390905
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-0016
Mailing Address - Country:US
Mailing Address - Phone:770-274-9846
Mailing Address - Fax:678-999-4887
Practice Address - Street 1:2500 PARK CENTRAL BLVD
Practice Address - Street 2:STE B-3
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3925
Practice Address - Country:US
Practice Address - Phone:770-274-9846
Practice Address - Fax:678-999-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)