Healthcare Provider Details

I. General information

NPI: 1295708303
Provider Name (Legal Business Name): CANDLER COUNTY BOARD OF COMMISSIONERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 E HIAWATHA STREET
METTER GA
30439-0000
US

IV. Provider business mailing address

PO BOX 578
METTER GA
30439-0578
US

V. Phone/Fax

Practice location:
  • Phone: 912-685-5965
  • Fax: 912-685-4363
Mailing address:
  • Phone: 912-685-5965
  • Fax: 912-685-4363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number021-02
License Number StateGA

VIII. Authorized Official

Name: XAVIER WINKLER
Title or Position: CHIEF
Credential:
Phone: 912-685-6007