Organization
MAGNOLIA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS M HOFFER (DIRECTOR)
(404) 379-6261
Entity
Organization
Contact information
Practice address
1129 BRETT DR SW, SUITE A, CONYERS, GA 30094-5998
(770) 761-7608
(770) 761-4078
Mailing address
1129 BRETT DR SW, SUITE A, CONYERS, GA 30094-5998
(770) 761-7608
(770) 761-4078
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
122-05
GA
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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