Provider Demographics
NPI:1932330503
Name:ENHANCED MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:ENHANCED MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-910-2399
Mailing Address - Street 1:1000 IRIS DR SW STE C1
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-6622
Mailing Address - Country:US
Mailing Address - Phone:678-910-2399
Mailing Address - Fax:
Practice Address - Street 1:1000 IRIS DR SW STE C1
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-6622
Practice Address - Country:US
Practice Address - Phone:770-482-2413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport