# TELFAIR COUNTY COMMISSIONER OF ROADS & REVENUES

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

## Provider details

- **NPI number:** 1588664452
- **Authorized official:** NANCY J.M. LIVINGSTON (COUNTY CLERK)
- **Authorized official phone:** (229) 868-5688

## Contact information

- **Practice address:** 274 E WILLOW CREEK LANE, MCRAE, GA 31055
- **Practice address phone:** (229) 868-5672
- **Practice address fax:** (229) 868-6449
- **Mailing address:** 91 TELFAIR AVENUE, SUITE A, MCRAE, GA 31055
- **Mailing address phone:** (229) 868-5672
- **Mailing address fax:** (229) 868-6449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 13401 | GA | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 12/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000259168A | — | GA |
| 05 | — | 300036451A | — | GA |
| 01 | — | 590001693 | RAILROAD MEDICARE | GA |