Organization · Type 2 NPI
Elbert County Georgia
Land Ambulance · Elberton, GA
NPI number
1477542983
Active
Practice location
112 Mahoney Dr
Elberton, GA 30635-6010
Fax (706) 283-2024
Mailing address
PO Box 6010, 112 Mahoney Dr
Elberton, GA 30635-6010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 052-01 (GA) |
Land Ambulance: Definition to come...
About NPI 1477542983
Elbert County Georgia's National Provider Identifier is 1477542983, issued on Oct 18, 2005. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Elberton, GA. The record was last updated on Aug 4, 2017.