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Organization
WAYNE COUNTY AMBULANCE SERVICE
Active
Organization
WAYNE COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BLAKE JOHNSON (DIRECTOR)
(912) 427-5999
Entity
Organization
Contact information
Practice address
477 W BAY ST, JESUP, GA 31545-1223
(912) 427-5999
(912) 427-5906
Mailing address
PO BOX 270, JESUP, GA 31598-0270
(912) 427-5999
(912) 427-5906
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
151-01
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000348444A
—
GA
01
—
590008778
RAILROAD MEDICARE
GA
Enumeration date
12/13/2006
Last updated
01/22/2013
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