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Mr. Willie James Smith JR.
Non-emergency Medical Transport (VAN) in Atlanta, Georgia
NPI 1184331274

Willie James Smith JR. is a Non-emergency Medical Transport (VAN) based in Atlanta, GA. Willie James Smith JR. practices in Atlanta, GA. The NPI Number for Willie James Smith JR. is 1184331274 and holds a License No. 052470684 (Georgia).

The current practice location address for Willie James Smith JR. is 6399 Stonelake Dr Sw, Atlanta, GA and can be reached out via phone at 470-330-4827.

Location: 6399 Stonelake Dr Sw, Atlanta, GA, 30331-8115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184331274
Provider Name
Willie James Smith JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6399 Stonelake Dr Sw, Atlanta, GA, 30331-8115
Phone Number
470-330-4827
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
831688534 05 GA
institution
Provider Business Practice Location Address Details
Address
6399 Stonelake Dr Sw
City
Atlanta
State
Georgia
Zip
30331-8115
Phone Number
470-330-4827
Fax Number
person
Provider Business Mailing Address Details
Address
6399 Stonelake Dr Sw
City
Atlanta
State
Georgia
Zip
30331-8115
Phone Number
470-330-4827
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
052470684 (Georgia)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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