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Organization
LIFEPOINT AMBULANCE LLC
Active
Organization
LIFEPOINT AMBULANCE LLC
Active
Other names
LifePoint Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB CHANCE MCCULLOUGH AMBULANCE SERVICE (OWNER/MEMBER)
(478) 714-3612
Entity
Organization
Contact information
Practice address
1011 HWY 341 NORTH, SUITE 20 A, ROBERTA, GA 31078
(478) 714-3612
Mailing address
1011 HWY 341 NORTH, SUITE 20 A, ROBERTA, GA 31078
(478) 714-3612
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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