Organization
GOLDEN ISLES EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WILSON (OWNER)
(912) 342-0911
Entity
Organization
Contact information
Practice address
11097 MAIN ST N, NAHUNTA, GA 31553-6147
(912) 342-0911
Mailing address
PO BOX 887, NAHUNTA, GA 31553-0887
(912) 342-0911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
013-02
GA
Other
Enumeration date
05/29/2012
Last updated
10/05/2017
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