Organization
SOUTH GEORGIA VENTURES INC
Active
Other names
South Georgia Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EDWARDS (CFO)
(229) 263-8528
Entity
Organization
Contact information
Practice address
301 S MADISON ST, QUITMAN, GA 31643-1443
(229) 263-8528
(229) 263-4302
Mailing address
PO BOX 5028, QUITMAN, GA 31643-5028
(229) 263-8528
(229) 263-4302
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
037-02
GA
3416L0300X
Land Ambulance
Primary
037-02
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
902019452A
—
GA
Enumeration date
04/18/2008
Last updated
01/15/2013
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