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Organization

GOL CROSS AMBULANCE SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC A REGAN (PRESIDENT)
(770) 596-6735
Entity
Organization

Contact information

Practice address
436 ROSWELL ST SE, MARIETTA, GA 30060-2067
(678) 355-1775
(678) 355-1726
Mailing address
436 ROSWELL ST SE, MARIETTA, GA 30060-2067
(678) 355-1775
(678) 355-1726

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03333
GA

Other

Enumeration date
10/17/2007
Last updated
10/17/2007
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