# SOUTHERN PRESTIGE EMS, LLC

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

## Provider details

- **NPI number:** 1457764557
- **Authorized official:** DAVID RYAN MCDARIS PARAMEDIC (CEO/PARAMEDIC)
- **Authorized official phone:** (706) 633-3819

## Contact information

- **Practice address:** 613 LAKE SHORE DR, MORGANTON, GA 30560-3561
- **Practice address phone:** (706) 633-0730
- **Mailing address:** 613 LAKE SHORE DR, MORGANTON, GA 30560-3561
- **Mailing address phone:** (706) 633-0730

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/05/2014