# MADISON CO COMMISSIONER ROADS AND REVENUE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104835164
- **Authorized official:** CHERRI MAE WYATT (BILLING SPECIALIST)
- **Authorized official phone:** (706) 795-6307

## Contact information

- **Practice address:** HWY 98 W, DANIELSVILLE, GA 30633
- **Practice address phone:** (706) 795-6300
- **Practice address fax:** (706) 795-2980
- **Mailing address:** 91 ALBANY AVE, DANIELSVILLE, GA 30633
- **Mailing address phone:** (706) 795-6300
- **Mailing address fax:** (706) 795-2980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 09501 | GA | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 05/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00071946A | — | GA |