Organization
LAKEWAY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JARNAGIN (DIRECTOR OWNER)
(423) 585-0911
Entity
Organization
Contact information
Practice address
1101 ARDEN LN, MORRISTOWN, TN 37813-2701
(423) 585-0911
(423) 586-8658
Mailing address
PO BOX 460, TALBOTT, TN 37877-0460
(423) 585-0911
(423) 586-8658
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS0000009979
TN
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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