# BRYAN COUNTY EMERGENCY MEDICAL SERVICE

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

## Provider details

- **NPI number:** 1972611663
- **Authorized official:** LINDA S. MILLER (BILLING AND ACCOUNTING CLERK)
- **Authorized official phone:** (912) 653-3867

## Contact information

- **Practice address:** 116 LANIER STREET, PEMBROKE, GA 31321
- **Practice address phone:** (912) 653-3867
- **Practice address fax:** (912) 653-3830
- **Mailing address:** 116 LANIER STREET, PEMBROKE, GA 31321
- **Mailing address phone:** (912) 653-3867
- **Mailing address fax:** (912) 653-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 01501 | GA | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/22/2020