# WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES

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

## Provider details

- **NPI number:** 1659435303
- **Authorized official:** CHARLES FUTCH (DIRECTOR)
- **Authorized official phone:** (229) 949-3344

## Contact information

- **Practice address:** 509 AMERICAN LEGION ROAD, ROCHELLE, GA 31079
- **Practice address phone:** (229) 949-3344
- **Practice address fax:** (229) 365-7948
- **Mailing address:** 509 AMERICAN LEGION ROAD, ROCHELLE, GA 31079
- **Mailing address phone:** (229) 949-3344
- **Mailing address fax:** (229) 365-7948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 15602 | GA | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 05/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00067724A | — | GA |
| 05 | — | N340761 | — | GA |