# ADVANCED AMBULANCE SERVICE, INC

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

## Provider details

- **NPI number:** 1194890798
- **Authorized official:** MR. J. B. OWEN JR. (VP/GENERAL MANAGER)
- **Authorized official phone:** (770) 844-4444

## Contact information

- **Practice address:** 106 COLONY PARK DR STE 200, CUMMING, GA 30040-2765
- **Practice address phone:** (770) 844-4444
- **Practice address fax:** (770) 886-1144
- **Mailing address:** 106 COLONY PARK DR STE 200, CUMMING, GA 30040-2765
- **Mailing address phone:** (770) 844-4444
- **Mailing address fax:** (770) 886-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 058-05 | GA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 12/18/2012