Clark Ems Ambulance Service

NPI #1952498776 in Dallas, Georgia

Provider Information

NPI Number: 1952498776
Entity Type: Organization
Organization Name: Clark Ems Ambulance Service
Primary Specialty: Emergency Medical Technician, Paramedic
Enumeration Date: Oct 5, 2006
Last Updated: Feb 1, 2013

Practice Location

Address: 117A COMMERCE DR
City: Dallas
State: Georgia
ZIP Code: 30132
Phone: (770) 445-2151

Authorized Official

Name: MR. SAMUEL T CLARK, OWNER
Title: PRESIDENT
Phone: (770) 445-5008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Intermediate	146M00000X
Emergency Medical Technician, Basic	146N00000X
Emergency Medical Technician, Paramedic	146L00000X	Primary

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