Organization
DOUGHERTY COUNTY COMMISSIONER OF ROADS & REVENUES
Active
Other names
DOUGHERTY COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GIBNEY (EMS DIRECTOR)
(229) 302-3901
Entity
Organization
Contact information
Practice address
1436 PALMYRA RD, ALBANY, GA 31701-1868
(229) 439-7011
(229) 439-4040
Mailing address
1436 PALMYRA RD, ALBANY, GA 31701-1868
(229) 439-7011
(229) 439-4040
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
04701
GA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00099206A3
—
GA
01
—
80112959AA
MEDICARE PTAN
GA
Enumeration date
09/14/2006
Last updated
08/06/2025
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