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General NPI Number Information
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NPI Number | 1942386289
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Entity Type | Organization
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Legal Business Name | BUTTS COUNTY BOARD OF COMMISSIONERS
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 1372 HIGHWAY 42 S
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City | FLOVILLA
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State | GA
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Zip | 30216-2124
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Country | US
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Telephone | 678-774-8154
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Fax | 770-775-8211
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Provider Business Mailing Address
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Address Line | 625 W 3RD ST SUITE 14
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City | JACKSON
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State | GA
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Zip | 30233-1881
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Country | US
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Telephone | 770-775-8200
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Fax | 770-775-8211
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | WESLEY MICHAEL JOHNSTON SR.
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Credential |
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Telephone | 770-715-1729
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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 |
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License Number State |
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