# SOUTHERN CARE EMS LLC

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

## Provider details

- **NPI number:** 1649744459
- **Authorized official:** EFFREN BIGHAM (OWNER)
- **Authorized official phone:** (404) 500-1039

## Contact information

- **Practice address:** 4010 NORTHSIDE DR STE F, MACON, GA 31210-1692
- **Practice address phone:** (404) 379-7605
- **Practice address fax:** (229) 888-6876
- **Mailing address:** PO BOX 2773, FOREST PARK, GA 30298-2773
- **Mailing address phone:** (404) 379-7605
- **Mailing address fax:** (229) 888-6876

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2019
- **Last updated:** 01/15/2019