# BURCO EMS, INC

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

## Provider details

- **NPI number:** 1164706156
- **Authorized official:** MR. ROGER BURGESS NREMT I,GA-EMT-I (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (770) 443-6300

## Contact information

- **Practice address:** 122 BERMUDA CT, DALLAS, GA 30157-4613
- **Practice address phone:** (770) 443-6300
- **Practice address fax:** (770) 443-6307
- **Mailing address:** 122 BERMUDA CT, DALLAS, GA 30157-4613
- **Mailing address phone:** (770) 443-6300
- **Mailing address fax:** (770) 443-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 110-09 | GA | Yes |

## Other

- **Enumeration date:** 10/08/2011
- **Last updated:** 10/08/2011