# SOUTH GA AMBULANCE LLC

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

## Provider details

- **NPI number:** 1487254660
- **Authorized official:** MRS. REBECCA YAWN (CEO)
- **Authorized official phone:** (229) 315-8292

## Contact information

- **Practice address:** 855 W GOLDEN ISLES HWY, MC RAE HELENA, GA 31037-3914
- **Practice address phone:** (229) 315-8292
- **Mailing address:** 855 W GOLDEN ISLES HWY, MC RAE HELENA, GA 31037-3914
- **Mailing address phone:** (229) 315-8292

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2020
- **Last updated:** 10/28/2020