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Organization

ANGEL EMS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHERI WILSON (OWNER)
(706) 861-1234
Entity
Organization

Contact information

Practice address
337 S CEDAR LN, FT OGLETHORPE, GA 30742-3378
(706) 861-1234
(706) 375-8209
Mailing address
337 S CEDAR LN, PO BOX 5495, FT OGLETHORPE, GA 30742-3378
(706) 861-1234
(706) 375-8209

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
023-05
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000823259A
GA
01
1430581
HEALTHSPRING
TN
01
4002438
BLUE CROSS BLUE SHEILD
TN
01
4117030
TENN CARE
TN
05
4582291
TN
01
52665555
BLUE CROSS BLUE SHEILD
GA
01
590012945
UNITED HEALTH CARE
GA
01
81016
AETNA
TN
Enumeration date
03/14/2007
Last updated
06/07/2016
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