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Organization
CAPITAL CITY AMBULANCE OF GEORGIA INC
Active
Organization
CAPITAL CITY AMBULANCE OF GEORGIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F ADKINS (CEO)
(706) 829-7771
Entity
Organization
Contact information
Practice address
2623 WASHINGTON RD STE E101, AUGUSTA, GA 30904-5965
(706) 829-7771
(803) 442-9024
Mailing address
2623 WASHINGTON ROAD E101, AUGUSTA, GA 30904
(706) 829-7771
(803) 442-9024
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
62191
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585329322A
—
GA
05
—
AB0245
—
SC
01
—
P00230724
RAILROAD MEDICARE
GA
Enumeration date
08/23/2005
Last updated
08/18/2017
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