Organization
SOUTHEAST AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L. PADGETT (PRESIDENT)
(706) 202-4038
Entity
Organization
Contact information
Practice address
121 ATHENS WEST PKWY, SUITE 111, ATHENS, GA 30606-6942
(706) 425-8884
(706) 613-1633
Mailing address
PO BOX 6241, ATHENS, GA 30604-6241
(706) 425-8884
(706) 425-8818
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
09/30/2016
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