Organization · Type 2 NPI
Kaczor Enterprises Inc
Land Ambulance · Douglas, GA
NPI number
1194140103
Active
Practice location
55 Dellmonte Rd
Douglas, GA 31535-6135
Fax (912) 393-1011
Mailing address
2236 Mckinnon Rd
Douglas, GA 31535-3102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 034-02 (GA) |
Land Ambulance: Definition to come...
About NPI 1194140103
Kaczor Enterprises Inc's National Provider Identifier is 1194140103, issued on Feb 27, 2014. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Douglas, GA. The record was last updated on Oct 21, 2014.