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Organization

MARION COUNTY COMMISSIONER OF ROADS AND REVENUE

Active
Other names
Marion County EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MARK C DEJONG (EMS DIRECTOR)
(229) 314-4569
Entity
Organization

Contact information

Practice address
100 BURKHALTER AVE, BUENA VISTA, GA 31803-9701
(229) 314-4569
(229) 649-2033
Mailing address
PO BOX 702, BUENA VISTA, GA 31803-0702
(229) 649-3025
(229) 649-2033

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
096-01
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000493435A
GA
01
590007352
RAILROAD MEDCARE
GA
Enumeration date
11/14/2006
Last updated
04/20/2017
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