Organization · Type 2 NPI
Dade County, Georgia
Land Ambulance · Trenton, GA
NPI number
1629377973
Active
Practice location
71 Case Ave
Trenton, GA 30752-2429
Fax (706) 657-5116
Mailing address
PO Box 613
Trenton, GA 30752-0613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 041-01 (GA) |
Land Ambulance: Definition to come...
Another provider at this address
About NPI 1629377973
Dade County, Georgia's National Provider Identifier is 1629377973, issued on Mar 24, 2011. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Trenton, GA. The record was last updated on Mar 24, 2011.