# GOLDEN ISLES EMS, LLC

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

## Provider details

- **NPI number:** 1841550571
- **Authorized official:** CHARLES WILSON (OWNER)
- **Authorized official phone:** (912) 342-0911

## Contact information

- **Practice address:** 11097 MAIN ST N, NAHUNTA, GA 31553-6147
- **Practice address phone:** (912) 342-0911
- **Mailing address:** PO BOX 887, NAHUNTA, GA 31553-0887
- **Mailing address phone:** (912) 342-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 013-02 | GA | Yes |

## Other

- **Enumeration date:** 05/29/2012
- **Last updated:** 10/05/2017