Board Of Commissioners

NPI 1720176340

Information of Board Of Commissioners

The NPI 1720176340 is an Organization type. NPI No 1720176340 belongs to Board Of Commissioners. Board Of Commissioners specializes in Land Transport. is practising at 59 Hill Haven Rd, Greenville, Georgia 30222. You can also contact him via phone number (706) 672-4094.

Practice address located

  • 59 Hill Haven Rd
  • Greenville, Georgia 30222
  • (706) 672-4094
  • (706) 672-4094

Mailling address located

  • Po Box 1304
  • Lagrange, Georgia 30241
  • (706) 672-4094
  • Not available
Board Of Commissioners is PECOS enrolled.
NPI No 1720176340
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes3416L0300XLand Transport099-02Georgia
Identifier for this provider
StateIdentifierTypeIssuer
GA000002879AMedicaidn/a
GA406590008OtherRAILROAD MEDICARE
GA81376859AAMedicare PINn/a
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