Provider Demographics
NPI:1780969964
Name:MCDUFFIE COUNTY BOARD OF COMMISSIONERS
Entity type:Organization
Organization Name:MCDUFFIE COUNTY BOARD OF COMMISSIONERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNTY COMMISSION CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:G
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:706-597-7300
Mailing Address - Street 1:210 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-2737
Mailing Address - Country:US
Mailing Address - Phone:706-595-2109
Mailing Address - Fax:706-595-4710
Practice Address - Street 1:210 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-2737
Practice Address - Country:US
Practice Address - Phone:706-597-7300
Practice Address - Fax:706-595-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA097-04341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance