Organization
GB ENTITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTLAND DIXON (MANAGER)
(762) 258-1680
Entity
Organization
Contact information
Practice address
801 29TH ST, COLUMBUS, GA 31904-8709
(762) 258-1680
Mailing address
PO BOX 7874, COLUMBUS, GA 31908-7874
(762) 258-1680
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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