Palms South Llc

NPI 1255768149 - Ambulance - 3416L0300X

NPI Details
NPI 1255768149
Enumeration Date 10/09/2013
Last Updated 10/10/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MAURICE MAURICE
Position CEO
Phone (404) 510-4786
Fax
Practice Location
108 WEBSTER ST
VALDOSTA GA, 31601-4616, US
Phone (404) 510-4786
Fax
Business Location
PO BOX 843
BYRON GA, 31008-0843, US
Phone (404) 510-4786
Fax
Toxanomy
Taxonomy Code 3416L0300X
License State
License Number
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According to our database, Palms South Llc NPI is 1255768149, taxonomy code is 3416L0300X Palms South Llc physically located at 108 Webster St, Valdosta GA, 31601-4616. NPI Number 1033115704 has the healthcare provider type.

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1255768149 NPI number is provided on an as is basis without warranty of any kind. 1255768149 is maintained by the National Plan & Provider Enumeration System. The contents of Palms South Llc are for informational purposes only.