Organization
SIGNATURE AMBULANCE AT STATESBORO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RODNEY SOMMERS MD (MEDICAL DIRECTOR)
(912) 259-9911
Entity
Organization
Contact information
Practice address
12148 US HIGHWAY 301 S, STATESBORO, GA 30458-3210
(912) 259-9911
(912) 225-3087
Mailing address
12148 US HIGHWAY 301 S, STATESBORO, GA 30458-3210
(912) 259-9911
(912) 225-3087
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AMB2017005
GA
Other
Enumeration date
04/06/2017
Last updated
08/22/2022
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