# EXCELCARE AMBULANCE SERVICE, INC

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

## Provider details

- **NPI number:** 1992038517
- **Authorized official:** DR. JAMES ADRIAN GRAHAM M.D. (CEO)
- **Authorized official phone:** (912) 278-2888

## Contact information

- **Practice address:** 331 S MAIN ST, BAXLEY, GA 31513-0109
- **Practice address phone:** (877) 399-1018
- **Practice address fax:** (912) 367-6233
- **Mailing address:** 331 S MAIN ST, BAXLEY, GA 31513-0109
- **Mailing address phone:** (877) 399-1018
- **Mailing address fax:** (912) 367-6233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 001-02 | GA | Yes |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 09/15/2009