Organization Name: | MADISON CO COMMISSIONER ROADS AND REVENUE |
NPI Number: | 1104835164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERRI MAE WYATT (BILLING SPECIALIST) |
Mailing Address: | Hwy 98 W Danielsville |
State: | GA US |
Postal Code: | 30633 |
Phone Number: | 7067956300 |
Fax Number: | 7067952980 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 09501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |