Organization
SOUTHERN REGIONAL EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT P BARKER (PRESIDENT)
(229) 358-0001
Entity
Organization
Contact information
Practice address
215 S CULPEPPER ST, QUITMAN, GA 31643-2707
(727) 515-3119
Mailing address
1640 ABERDEEN ST, JACKSONVILLE, FL 32205-8636
(727) 515-3119
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
10/22/2024
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