NPI Code Details Logo

NPI 1093782732

NPI 1093782732 : CAMDEN COUNTY COMMISSIONER OF : KINGSLAND, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093782732
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CAMDEN COUNTY COMMISSIONER OF 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/01/2006
-----------------------------------------------------
    Last Update Date     |    03/27/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    125 N GROSS RD 
-----------------------------------------------------
    City                 |    KINGSLAND
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31548-6237
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    912-729-1056
-----------------------------------------------------
    Fax                  |    912-729-6527
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 9150 
-----------------------------------------------------
    City                 |    PADUCAH
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42002-9150
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-744-9600
-----------------------------------------------------
    Fax                  |    270-744-8642
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |    MR. PATRICK  PARSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    912-729-1056
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3416L0300X
-----------------------------------------------------
    Taxonomy Name        |    Land Ambulance
-----------------------------------------------------
    License Number       |    020-01
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.