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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
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