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Organization

MID GEORGIA AMBULANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAE HINSON (COO)
(478) 741-8804
Entity
Organization

Contact information

Practice address
2025 VINEVILLE AVE, MACON, GA 31204-3142
(478) 741-8804
(478) 742-0358
Mailing address
2025 VINEVILLE AVE, MACON, GA 31204-3142
(478) 741-8804
(478) 742-0358

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
011-02
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00133757A
GA
Enumeration date
08/21/2006
Last updated
08/22/2020
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