Healthcare Provider Details

I. General information

NPI: 1942310800
Provider Name (Legal Business Name): FRANKLIN COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9267 LAVONIA RD
CARNESVILLE GA
30521
US

IV. Provider business mailing address

PO BOX 420
CARNESVILLE GA
30521-0420
US

V. Phone/Fax

Practice location:
  • Phone: 706-384-5598
  • Fax: 706-384-4840
Mailing address:
  • Phone: 706-384-5598
  • Fax: 706-384-4840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number05902
License Number StateGA

VIII. Authorized Official

Name: MR. BRANDON GIBSON
Title or Position: DIRECTOR
Credential:
Phone: 706-384-5598