| Organization Name: | TERRELL CO EMS |
| NPI Number: | 1306831615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MECHELLE MILLER (BILLING/COLLECTIONS) |
| Mailing Address: | 240 Johnson St Se Dawson |
| State: | GA US |
| Postal Code: | 398421486 |
| Phone Number: | 2299954008 |
| Fax Number: | 2299954869 |
| NPI Enumeration Date: | 09/13/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 13501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |