Organization
LAWRENCE COUNTY E.M.S., INC.
Active
Other names
Greg's Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D. RANDOLPH PARAMEDIC (PRESIDENT)
(256) 974-3711
Entity
Organization
Contact information
Practice address
11227 AL HWY 157, SUITE A, MOULTON, AL 35650-1938
(256) 974-3711
(256) 974-7956
Mailing address
P.O. BOX 520, MOULTON, AL 35650-0520
(256) 974-3711
(256) 974-7956
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039489
—
AL
Enumeration date
04/08/2008
Last updated
11/15/2010
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