Individual
ROGER D GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
2064 REX RD STE 4, LAKE CITY, GA 30260-3967
(478) 737-8035
Mailing address
2064 REX RD STE 4, LAKE CITY, GA 30260-3967
(478) 737-8035
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
031-29
GA
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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