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Organization
MEMBERS EMS
Active
Organization
MEMBERS EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HAYWOOD MCKNIGHT (CEO)
(404) 901-2272
Entity
Organization
Contact information
Practice address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(404) 901-2272
Mailing address
5499 JONESBORO RD, LAKE CITY, GA 30260-3553
(404) 901-2272
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
AMB2016013
GA
Other
Enumeration date
07/06/2015
Last updated
09/19/2016
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