Provider Demographics
NPI:1215753785
Name:SOUTH & EAST MEDICAL TRANSPORT GROUP
Entity type:Organization
Organization Name:SOUTH & EAST MEDICAL TRANSPORT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-628-3302
Mailing Address - Street 1:115 MILLHAVEN LNDG
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-8176
Mailing Address - Country:US
Mailing Address - Phone:678-628-3302
Mailing Address - Fax:
Practice Address - Street 1:115 MILLHAVEN LNDG
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-8176
Practice Address - Country:US
Practice Address - Phone:678-628-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)