| Organization Name: | AMELIA MEDICAL SERVICES, LLC |
| NPI Number: | 1063825842 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE MATRICIA (CHIEF OPERATIONS OFFICER) |
| Mailing Address: | 3435 Second St S Folkston |
| State: | GA US |
| Postal Code: | 315378447 |
| Phone Number: | 9124960041 |
| Fax Number: | 9124960053 |
| NPI Enumeration Date: | 06/09/2014 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |