Individual provider · Type 1 NPI
Jackie Dwayne Ellington, EMT
Intermediate Emergency Medical Technician · Ellijay, GA
NPI number
1841540754
Active
Practice location
1548 Old Hwy 5 South
Ellijay, GA 30540
Fax (706) 276-8474
Mailing address
PO Box 1725
Ellijay, GA 30540-0033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intermediate Emergency Medical Technician Primary | 146M00000X | 28696 (GA) |
Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Another provider at this address
About NPI 1841540754
Jackie Dwayne Ellington, EMT's National Provider Identifier is 1841540754, issued on Sep 18, 2012. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in Ellijay, GA. The record was last updated on Sep 18, 2012.