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Organization
SCHLEY COUNTY COMMISSIONER
Active
Organization
SCHLEY COUNTY COMMISSIONER
Active
Other names
SCHLEY COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE MONTGOMERY (EMS DIRECTOR)
(229) 942-3375
Entity
Organization
Contact information
Practice address
106 NORTH PECAN STREET, ELLAVILLE, GA 31806
(229) 942-3375
(229) 937-5880
Mailing address
106 NORTH PECAN STREET, ELLAVILLE, GA 31806
(229) 942-3375
(229) 937-5880
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000207611A
—
GA
01
—
85033859AA
MEDICARE PTAN
GA
Enumeration date
09/15/2006
Last updated
07/08/2013
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