Organization
CHEROKEE COUNTY BOARD OF COMMISSIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WEST (CHIEF)
(678) 614-8957
Entity
Organization
Contact information
Practice address
150 CHATTIN DR, CANTON, GA 30115-8249
(678) 614-8957
Mailing address
N2930 STATE ROAD 22, WAUTOMA, WI 54982-5267
(920) 787-2291
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
028-03
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000764233B
—
GA
01
—
406590727
RAILROAD MEDICARE
GA
Enumeration date
10/27/2006
Last updated
04/17/2013
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