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General NPI Number Information
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NPI Number | 1841200441
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Entity Type | Organization
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Legal Business Name | MCINTOSH COUNTY COMMISSIONERS OF ROADS & REVENUE
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 1019 PRODUCTION ROW SW
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City | DARIEN
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State | GA
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Zip | 31305-6151
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Country | US
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Telephone | 912-832-6265
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Fax | 952-985-5671
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | LEWISVILLE
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State | NC
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Zip | 27023-0429
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Country | US
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Telephone | 877-200-1191
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Fax | 336-740-9793
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. FRANKLIN WALLACE
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Credential |
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Telephone | 912-437-6671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 098-03
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License Number State | GA
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