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Felton Lewis Jackson III
Non-emergency Medical Transport (VAN) in Powder Springs, Georgia
NPI 1134721384

Felton Lewis Jackson III is a Non-emergency Medical Transport (VAN) based in Powder Springs, GA. Felton Lewis Jackson III practices in Powder Springs, GA. The NPI Number for Felton Lewis Jackson III is 1134721384 and holds a License No. 060541970 (Georgia).

The current practice location address for Felton Lewis Jackson III is 4190 Mistymorn Way, Powder Springs, GA and can be reached out via phone at 678-557-5770 and via fax at 770-800-8127.

Location: 4190 Mistymorn Way, Powder Springs, GA, 30127-2591
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134721384
Provider Name
Felton Lewis Jackson III
Credential
Provider Entity Type
Individual
Gender
Male
Address
4190 Mistymorn Way, Powder Springs, GA, 30127-2591
Phone Number
678-557-5770
Fax Number
770-800-8127
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4190 Mistymorn Way
City
Powder Springs
State
Georgia
Zip
30127-2591
Phone Number
678-557-5770
Fax Number
770-800-8127
person
Provider Business Mailing Address Details
Address
4190 Mistymorn Way
City
Powder Springs
State
Georgia
Zip
30127-2591
Phone Number
678-557-5770
Fax Number
770-800-8127
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
060541970 (Georgia)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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