Provider Demographics
NPI:1942568472
Name:UNIVERSITY EMS
Entity Type:Organization
Organization Name:UNIVERSITY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:404-729-3371
Mailing Address - Street 1:11942 SPRING LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-8507
Mailing Address - Country:US
Mailing Address - Phone:404-729-3371
Mailing Address - Fax:678-817-4175
Practice Address - Street 1:11942 SPRING LAKE WAY
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-8507
Practice Address - Country:US
Practice Address - Phone:404-729-3371
Practice Address - Fax:678-817-4175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport