| Organization Name: | GOLDEN ISLES EMS, LLC |
| NPI Number: | 1841550571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES WILSON (OWNER) |
| Mailing Address: | 15332 Hwy 82 Nahunta |
| State: | GA US |
| Postal Code: | 31553 |
| Phone Number: | 9123420911 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 06/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 013-02 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |