# EMANUEL COUNTY COMMISSIONER OF ROADS & REVENUES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EMANUEL COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962591966
- **Authorized official:** MR. COURTNEY TERWILLIGER EMT-P (DIRECTOR)
- **Authorized official phone:** (478) 237-6809

## Contact information

- **Practice address:** 117 KITE RD, SWAINSBORO, GA 30401-3231
- **Practice address phone:** (478) 237-6809
- **Practice address fax:** (478) 237-4268
- **Mailing address:** 117 KITE RD, PO BOX 879, SWAINSBORO, GA 30401-3231
- **Mailing address phone:** (478) 237-6809
- **Mailing address fax:** (478) 237-4268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 53-01 | GA | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 02/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000701B | — | GA |
