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General NPI Number Information
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NPI Number | 1164445391
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Entity Type | Organization
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Legal Business Name | GOLD CROSS EMS, INC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 4328 WHEELER RD
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City | AUGUSTA
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State | GA
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Zip | 30907-9740
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Country | US
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Telephone | 706-434-4000
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Fax | 706-504-9521
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Provider Business Mailing Address
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Address Line | PO BOX 14848
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City | AUGUSTA
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State | GA
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Zip | 30919-0848
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Country | US
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Telephone | 706-434-4000
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Fax | 706-504-9521
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CAREY L STORY
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Credential |
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Telephone | 706-434-4018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 121-08
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License Number State | GA
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