# GB ENTITY LLC

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

## Provider details

- **NPI number:** 1801670112
- **Authorized official:** COURTLAND DIXON (MANAGER)
- **Authorized official phone:** (762) 258-1680

## Contact information

- **Practice address:** 801 29TH ST, COLUMBUS, GA 31904-8709
- **Practice address phone:** (762) 258-1680
- **Mailing address:** PO BOX 7874, COLUMBUS, GA 31908-7874
- **Mailing address phone:** (762) 258-1680

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 08/21/2023
