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Organization
LAWRENCE COUNTY E.M.S., INC.
Active
Organization
LAWRENCE COUNTY E.M.S., INC.
Active
Other names
Greg's Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D. RANDOLPH PARAMEDIC (PRESIDENT)
(256) 974-3711
Entity
Organization
Contact information
Practice address
11227 AL HWY 157, SUITE A, MOULTON, AL 35650-1938
(256) 974-3711
(256) 974-7956
Mailing address
P.O. BOX 520, MOULTON, AL 35650-0520
(256) 974-3711
(256) 974-7956
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039489
—
AL
Enumeration date
04/08/2008
Last updated
11/15/2010
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