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Organization

CLAYTON COUNTY BOARD OF COMMISSIONERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LANDRY DOYLE MERKISON (FIRE CHIEF / EMS DIRECTOR)
(770) 473-3831
Entity
Organization

Contact information

Practice address
7810 HIGHWAY 85, RIVERDALE, GA 30274-3920
(770) 473-3831
(770) 473-3837
Mailing address
112 SMITH ST, JONESBORO, GA 30236-3539
(770) 473-3831
(770) 473-3837

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
09/08/2016
Last updated
03/01/2017
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