# DODGE COUNTY COMMISSIONER OF ROADS AND REVENUES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dodge County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386824589
- **Authorized official:** KELLY BOWEN (COUNTY MANAGER)
- **Authorized official phone:** (478) 374-4361

## Contact information

- **Practice address:** 901 GRIFFIN AVE, EASTMAN, GA 31023-6720
- **Practice address phone:** (478) 374-4361
- **Mailing address:** PO BOX 818, EASTMAN, GA 31023-0818
- **Mailing address phone:** (478) 374-4361
- **Mailing address fax:** (478) 374-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 045-02 | GA | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 11/27/2007