person
Roger Lee Jackson II
Intermediate Emergency Medical Technician in Atlanta, Georgia
NPI 1881214872

Roger Lee Jackson II is a Intermediate Emergency Medical Technician based in Atlanta, GA. Roger Lee Jackson II practices in Atlanta, GA. The NPI Number for Roger Lee Jackson II is 1881214872 and holds a License No. 40076 (Georgia).

The current practice location address for Roger Lee Jackson II is 713 Clifton Rd Se, Atlanta, GA and can be reached out via phone at 404-246-5444.

Location: 713 Clifton Rd Se, Atlanta, GA, 30316-2229
person
Provider Profile Details
NPI Number
1881214872
Provider Name
Roger Lee Jackson II
Credential
Provider Entity Type
Individual
Gender
Male
Address
713 Clifton Rd Se, Atlanta, GA, 30316-2229
Phone Number
404-246-5444
Fax Number
Provider Enumeration Date
04/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
713 Clifton Rd Se
City
State
Zip
30316-2229
Phone Number
404-246-5444
Fax Number
person
Provider Business Mailing Address Details
Address
713 Clifton Rd Se
City
State
Zip
30316-2229
Phone Number
404-246-5444
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
License No.
40076 (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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