person
Jackie Dwayne Ellington, EMT
Intermediate Emergency Medical Technician in Ellijay, Georgia
NPI 1841540754

Jackie Dwayne Ellington is a Intermediate Emergency Medical Technician based in Ellijay, GA. Jackie Dwayne Ellington practices in Ellijay, GA and has the professional credentials of EMT. The NPI Number for Jackie Dwayne Ellington is 1841540754 and holds a License No. 28696 (Georgia).

The current practice location address for Jackie Dwayne Ellington is 1548 Old Hwy 5 South, Ellijay, GA and can be reached out via phone at 706-273-7477 and via fax at 706-276-8474.

Location: 1548 Old Hwy 5 South, Ellijay, GA, 30540-0033
person
Provider Profile Details
NPI Number
1841540754
Provider Name
Jackie Dwayne Ellington
Credential
EMT
Provider Entity Type
Individual
Gender
Male
Address
1548 Old Hwy 5 South, Ellijay, GA, 30540-0033
Phone Number
706-273-7477
Fax Number
706-276-8474
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1548 Old Hwy 5 South
City
State
Zip
30540
Phone Number
706-273-7477
Fax Number
706-276-8474
person
Provider Business Mailing Address Details
Address
1548 Old Hwy 5 South
City
State
Zip
30540
Phone Number
706-273-7477
Fax Number
706-276-8474
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
License No.
28696 (Georgia)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
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