Angela Michelle Brown

Individual provider Active NPI Paramedic · Wrens, GA

NPI 1841849486 · NPPES record last updated Sep 6, 2019

Key facts

NPI
1841849486
Entity type
Individual (NPI type 1)
Primary specialty
Paramedic 146L00000X
License
P010262 (GA)
Practice address
202 Thomson Hwy Ste C
Wrens, GA 30833-1215
Phone
(706) 872-9857
Fax
(706) 872-9857
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P010262GAMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirational Ambulance Service, LLC Current
since Nov 17, 2019
Accepting new patients

Locations

202 Thomson Hwy
Ste C
Wrens, GA 30833
Phone (706) 547-0840

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P010262 GA Yes

Addresses

Primary practice location

202 Thomson Hwy Ste C
Wrens, GA 30833-1215

Mailing address

202 Thomson Hwy Ste C
Wrens, GA 30833-1215
Phone (706) 872-9857

Other providers in Wrens, GA

All providers in Wrens, GA · Paramedic in Georgia

Sources for this page

Verify at the official NPI Registry.