Organization
SPALDING AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 228-2721
Mailing address
PO BOX 741278, ATLANTA, GA 30374-1278
(770) 228-2721
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000866B
—
GA
Enumeration date
04/17/2007
Last updated
06/23/2016
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