Organization
WILCOX COUNTY COMMISSIONER OF ROADS & REVENUES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FUTCH (DIRECTOR)
(229) 949-3344
Entity
Organization
Contact information
Practice address
509 AMERICAN LEGION ROAD, ROCHELLE, GA 31079
(229) 949-3344
(229) 365-7948
Mailing address
509 AMERICAN LEGION ROAD, ROCHELLE, GA 31079
(229) 949-3344
(229) 365-7948
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
15602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00067724A
—
GA
05
—
N340761
—
GA
Enumeration date
12/20/2006
Last updated
05/29/2024
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