Organization
PEACH COUNTY BOARD OF COMMISSIONERS
Active
Other names
Peach County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONZO C FORD (DIRECTOR)
(478) 477-7131
Entity
Organization
Contact information
Practice address
205 W CHURCH ST, FORT VALLEY, GA 31030-3732
(478) 477-7131
(478) 477-5636
Mailing address
205 W CHURCH ST, FORT VALLEY, GA 31030-3732
(478) 477-7131
(478) 477-5636
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
111-04
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00065513A
—
GA
Enumeration date
04/11/2006
Last updated
08/22/2020
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