Madison Co Commissioner Roads and Revenue

Organization Active NPI Land Ambulance · Danielsville, GA

NPI 1104835164 · NPPES record last updated May 23, 2008

Key facts

NPI
1104835164
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
09501 (GA)
Legal business name
MADISON CO COMMISSIONER ROADS AND REVENUE
Practice address
Hwy 98 W
Danielsville, GA 30633
Phone
(706) 795-6300
Fax
(706) 795-2980
NPI assigned
Aug 7, 2006
Organization subpart
No

Authorized official

Name
Cherri Mae Wyatt
Title
Billing Specialist
Phone
(706) 795-6307

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Madison Co Commissioner Roads and Revenue (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 09501 GA Yes

Addresses

Primary practice location

Hwy 98 W
Danielsville, GA 30633

Mailing address

91 Albany Ave
Danielsville, GA 30633
Phone (706) 795-6300

Other identifiers

IdentifierTypeStateIssuer
00071946AMedicaidGA

Other names

  • Madison County EMS Other name

Other providers in Danielsville, GA

All providers in Danielsville, GA · Land Ambulance in Georgia

Sources for this page

Verify at the official NPI Registry.