Provider Demographics
NPI:1639561665
Name:NATIONS EMS LLC
Entity Type:Organization
Organization Name:NATIONS EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:478-737-8035
Mailing Address - Street 1:2064 REX RD
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:LAKE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30260-3967
Mailing Address - Country:US
Mailing Address - Phone:404-363-6624
Mailing Address - Fax:404-363-6621
Practice Address - Street 1:2064 REX RD
Practice Address - Street 2:SUITE 4A
Practice Address - City:LAKE CITY
Practice Address - State:GA
Practice Address - Zip Code:30260-3967
Practice Address - Country:US
Practice Address - Phone:404-363-6624
Practice Address - Fax:404-363-6621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-29341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance