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Kenennesha Latasha Mitchell, EMT-I
Intermediate Emergency Medical Technician in Augusta, Georgia
NPI 1861746745

Kenennesha Latasha Mitchell is a Intermediate Emergency Medical Technician based in Augusta, GA. Kenennesha Latasha Mitchell practices in Augusta, GA and has the professional credentials of EMT-I. The NPI Number for Kenennesha Latasha Mitchell is 1861746745 and holds a License No. 29545 (Georgia).

The current practice location address for Kenennesha Latasha Mitchell is 2467 Golden Camp Rd, Augusta, GA and can be reached out via phone at 706-790-4440 and via fax at 706-790-4393.

Location: 2467 Golden Camp Rd, Augusta, GA, 30906-5515
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Provider Profile Details
NPI Number
1861746745
Provider Name
Kenennesha Latasha Mitchell
Credential
EMT-I
Provider Entity Type
Individual
Gender
Female
Address
2467 Golden Camp Rd, Augusta, GA, 30906-5515
Phone Number
706-790-4440
Fax Number
706-790-4393
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29545 01 GA EMT-I
institution
Provider Business Practice Location Address Details
Address
2467 Golden Camp Rd
City
State
Zip
30906-5515
Phone Number
706-790-4440
Fax Number
706-790-4393
person
Provider Business Mailing Address Details
Address
2467 Golden Camp Rd
City
State
Zip
30906-5515
Phone Number
706-790-4440
Fax Number
706-790-4393
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
License No.
29545 (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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