Healthcare Provider Details

I. General information

NPI: 1295516292
Provider Name (Legal Business Name): DRS2GO EMERGENCY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N RIVER ST
CLAXTON GA
30417-1659
US

IV. Provider business mailing address

116 ANDOVER DR
SAVANNAH GA
31405-5407
US

V. Phone/Fax

Practice location:
  • Phone: 912-739-5000
  • Fax:
Mailing address:
  • Phone: 912-695-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DIANA M HANSEN
Title or Position: AUTHORIZED OFFICIAL
Credential: AO
Phone: 912-403-9317