Organization
MARINE CORPS LOGISTICS BASE ALBANY, GA
Active
Other names
MCLB Albany
Organization subpart
No
Provider details
NPI number
Authorized official
FOREST M THOMAS (ASST. FIRE CHIEF OF OPERATIONS)
(229) 639-5610
Entity
Organization
Contact information
Practice address
814 RADFORD BLVD, SUITE 20346, ALBANY, GA 31704-1130
(229) 639-5610
Mailing address
814 RADFORD BLVD, SUITE 20346, ALBANY, GA 31704-1130
(229) 639-5610
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
993
GA
Other
Enumeration date
03/21/2011
Last updated
06/02/2014
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