Organization
SCHLEY COUNTY COMMISSIONER
Active
Other names
SCHLEY COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE MONTGOMERY (EMS DIRECTOR)
(229) 942-3375
Entity
Organization
Contact information
Practice address
106 NORTH PECAN STREET, ELLAVILLE, GA 31806
(229) 942-3375
(229) 937-5880
Mailing address
106 NORTH PECAN STREET, ELLAVILLE, GA 31806
(229) 942-3375
(229) 937-5880
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000207611A
—
GA
01
—
85033859AA
MEDICARE PTAN
GA
Enumeration date
09/15/2006
Last updated
07/08/2013
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