Provider Demographics
NPI:1528386182
Name:VETERANS MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:VETERANS MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMUD
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-988-2571
Mailing Address - Street 1:7184 SOUTHLAKE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-4177
Mailing Address - Country:US
Mailing Address - Phone:404-988-2571
Mailing Address - Fax:
Practice Address - Street 1:7184 SOUTHLAKE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-4177
Practice Address - Country:US
Practice Address - Phone:404-988-2571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport