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Organization
LANIER COUNTY AMBULANCE SERVICE
Active
Organization
LANIER COUNTY AMBULANCE SERVICE
Active
Other names
Lanier County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL GINTY RN (ADMINISTRATOR)
(229) 482-8402
Entity
Organization
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1006
(229) 482-8401
(229) 482-8539
Mailing address
PO BOX 5888, ATTN: PFS DEPT., VALDOSTA, GA 31603-5888
(229) 482-8402
(229) 482-8539
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
08601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001163A
—
GA
05
—
000001163B
—
GA
05
—
000001163H
—
GA
01
—
HOSP110
CAHABA
GA
Enumeration date
05/14/2007
Last updated
05/17/2011
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