Organization
ST. ANDREW'S E.M.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L HIGGINS (PRESIDENT)
(770) 460-0576
Entity
Organization
Contact information
Practice address
245 BROOKCLEAR LN, FAYETTEVILLE, GA 30215-4639
(770) 460-0576
Mailing address
245 BROOKCLEAR LN, FAYETTEVILLE, GA 30215-4639
(770) 460-0576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
44-60
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000536973A
—
GA
Enumeration date
10/02/2006
Last updated
08/22/2020
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