Provider Demographics
NPI:1952665531
Name:CHARLTON COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:CHARLTON COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-496-1081
Mailing Address - Street 1:68 KINGSLAND DR STE B
Mailing Address - Street 2:
Mailing Address - City:FOLKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:31537-2872
Mailing Address - Country:US
Mailing Address - Phone:912-496-1081
Mailing Address - Fax:912-496-1084
Practice Address - Street 1:426 ROSA PARKS RD
Practice Address - Street 2:
Practice Address - City:FOLKSTON
Practice Address - State:GA
Practice Address - Zip Code:31537-8306
Practice Address - Country:US
Practice Address - Phone:912-496-1081
Practice Address - Fax:912-496-1084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA024-023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport