# CITY EMS OF GEORGIA LLC

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

## Provider details

- **NPI number:** 1881821742
- **Authorized official:** MR. HENRY B. MOREE (OWNER)
- **Authorized official phone:** (770) 719-5337

## Contact information

- **Practice address:** 165 CARNEGIE PL, FAYETTEVILLE, GA 30214-3905
- **Practice address phone:** (770) 389-3894
- **Practice address fax:** (770) 719-2730
- **Mailing address:** 165 CARNEGIE PL, FAYETTEVILLE, GA 30214-3905
- **Mailing address phone:** (770) 389-3894
- **Mailing address fax:** (770) 719-2730

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 03/04/2013
