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Organization
DECATUR COUNTY BOARD OF COMMISSIONERS
Active
Organization
DECATUR COUNTY BOARD OF COMMISSIONERS
Active
Other names
Decatur County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY L BATTLE (DEPUTY EMS CHIEF)
(229) 248-3001
Entity
Organization
Contact information
Practice address
307 AIRPORT RD, BAINBRIDGE, GA 39817-6898
(229) 248-3001
(229) 248-3003
Mailing address
PO BOX 726, BAINBRIDGE, GA 39818-0726
(229) 248-3001
(229) 248-3003
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
043-05
GA
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000064325A
—
GA
01
—
164253
BCBS OF GA
GA
01
—
590002836
RAILROAD MEDICARE
GA
Enumeration date
12/14/2006
Last updated
02/22/2013
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