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Organization
BLUE CROSS EMS LLC
Active
Organization
BLUE CROSS EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE MITCHELL BREWER (CEO)
(404) 520-9009
Entity
Organization
Contact information
Practice address
3 PINE GROVE DR, LOCUST GROVE, GA 30248-2561
(404) 520-9009
(678) 782-3222
Mailing address
3 PINE GROVE DR, LOCUST GROVE, GA 30248-2561
(404) 520-9009
(678) 782-3222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AMB2016005
GA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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