Organization
GILMER COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS WORTHINGTON (DIRECTOR)
(706) 635-1333
Entity
Organization
Contact information
Practice address
1 W SIDE SQ, ELLIJAY, GA 30540-3326
(706) 635-1333
Mailing address
1 W SIDE SQ, ELLIJAY, GA 30540-3326
(706) 635-1333
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
061-01
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002692A
—
GA
01
—
52191385
BCBS OF GA
GA
Enumeration date
05/31/2007
Last updated
08/22/2020
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