Organization
BRANTLEY COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY W RIGGAN (DIRECTOR)
(912) 462-5380
Entity
Organization
Contact information
Practice address
1366 BROOME STREET, NAHUNTA, GA 31553
(912) 462-5380
(912) 462-5309
Mailing address
PO BOX 798, NAHUNTA, GA 31553-0798
(912) 462-5380
(912) 462-5309
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
01301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00180342A
—
GA
Enumeration date
03/15/2007
Last updated
08/25/2022
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