Organization
MADISON CO COMMISSIONER ROADS AND REVENUE
Active
Other names
Madison County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRI MAE WYATT (BILLING SPECIALIST)
(706) 795-6307
Entity
Organization
Contact information
Practice address
HWY 98 W, DANIELSVILLE, GA 30633
(706) 795-6300
(706) 795-2980
Mailing address
91 ALBANY AVE, DANIELSVILLE, GA 30633
(706) 795-6300
(706) 795-2980
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
09501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00071946A
—
GA
Enumeration date
08/07/2006
Last updated
05/23/2008
Update your record
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