Provider Demographics
NPI:1831637834
Name:PATIENT 1ST MEDICAL SERVICES
Entity Type:Organization
Organization Name:PATIENT 1ST MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-458-5935
Mailing Address - Street 1:155 WESTRIDGE PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3051
Mailing Address - Country:US
Mailing Address - Phone:678-782-5501
Mailing Address - Fax:
Practice Address - Street 1:155 WESTRIDGE PKWY STE 212
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3051
Practice Address - Country:US
Practice Address - Phone:678-782-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAMB2017001341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance