# FIVE STAR EMERGENCY MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053834473
- **Authorized official:** PHILLIP NELIOUS HALL (OWNER)
- **Authorized official phone:** (478) 225-0100

## Contact information

- **Practice address:** 3104 MERCER UNIVERSITY DR, MACON, GA 31204-5109
- **Practice address phone:** (912) 481-7373
- **Mailing address:** PO BOX 6435, WARNER ROBINS, GA 31095-6435
- **Mailing address phone:** (912) 481-7373
- **Mailing address fax:** (478) 620-1420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | AMB201715 | GA | Yes |

## Other

- **Enumeration date:** 07/18/2017
- **Last updated:** 07/21/2022