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Organization

DADE COUNTY, GEORGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX CASE (DIRECTOR)
(706) 657-4625
Entity
Organization

Contact information

Practice address
71 CASE AVE, TRENTON, GA 30752-2429
(706) 657-4625
(706) 657-5116
Mailing address
PO BOX 613, TRENTON, GA 30752-0613
(706) 657-4625
(706) 657-5116

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
041-01
GA

Other

Enumeration date
03/24/2011
Last updated
03/24/2011
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