# SOUTHEAST AMBULANCE OF MIDDLE GEORGIA, INC.

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

## Provider details

- **NPI number:** 1063859445
- **Authorized official:** MR. JOHN L PADGETT (PRESIDENT)
- **Authorized official phone:** (706) 202-4038

## Contact information

- **Practice address:** 855 SUNSET DR, SUITE 19, ATHENS, GA 30606-7718
- **Practice address phone:** (706) 202-4038
- **Mailing address:** PO BOX 6241, ATHENS, GA 30604-6241
- **Mailing address phone:** (706) 202-4038

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2013
- **Last updated:** 05/26/2013