# BOARD OF COMMISSIONERS MILLER COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MILLER COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386752277
- **Authorized official:** DEBORAH H PEARCE (COUNTY CLERK)
- **Authorized official phone:** (229) 758-4104

## Contact information

- **Practice address:** 159 E MAIN ST, COLQUITT, GA 39837-3611
- **Practice address phone:** (229) 758-4104
- **Practice address fax:** (229) 758-2229
- **Mailing address:** 304 W PINE ST, COLQUITT, GA 39837-3501
- **Mailing address phone:** (229) 758-4104
- **Mailing address fax:** (229) 758-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 100-01 | GA | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 04/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000665618A | — | GA |