# SCREVEN COUNTY COMMISSIONERS OF ROADS & REVENUE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Screven County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821274200
- **Authorized official:** MRS. WANDA STEWART (ADMIN CLERK)
- **Authorized official phone:** (912) 564-7535

## Contact information

- **Practice address:** 618 FRONTAGE RD W, SYLVANIA, GA 30467-4888
- **Practice address phone:** (912) 564-7535
- **Practice address fax:** (912) 564-2562
- **Mailing address:** PO BOX 159, SYLVANIA, GA 30467-0159
- **Mailing address phone:** (912) 564-7535
- **Mailing address fax:** (912) 564-2562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 124-01 | GA | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/15/2008
