| Organization Name: | MED SOUTH EMS INC |
| NPI Number: | 1427336551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL J KINDLEY (PRESIDENT) |
| Mailing Address: | 116 W 2nd Ave Colbert |
| State: | GA US |
| Postal Code: | 306282915 |
| Phone Number: | 4047684800 |
| Fax Number: | 7703061001 |
| NPI Enumeration Date: | 07/22/2011 |
| NPI Last Update Date: | 07/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 09503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |