# TATTNALL COMMUNITY EMS

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

## Provider details

- **NPI number:** 1417278029
- **Authorized official:** MR. WILLIAM R. KIRKLAND (PUBLIC SAFETY DIRECTOR)
- **Authorized official phone:** (912) 557-3640

## Contact information

- **Practice address:** 194 JOHN O PARKER DR., REIDSVILLE, GA 30453
- **Practice address phone:** (912) 557-3640
- **Practice address fax:** (912) 557-6906
- **Mailing address:** PO BOX 1006, REIDSVILLE, GA 30453-1006
- **Mailing address phone:** (912) 557-3640
- **Mailing address fax:** (912) 557-6906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 132-03 | GA | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010