Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE DWAYNE ELLINGTON, EMT
Active Sole ProprietorJACKIE DWAYNE ELLINGTON, EMT is a Emergency Medical Technician, Paramedic healthcare provider located in ELLIJAY, Georgia. NPI 1841540754 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Paramedic · ELLIJAY, GA
Registration Details
- NPI Number
- 1841540754
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2012 (13.723379682329 yrs)
- Last Updated
- Sep 18, 2012
- License
-
28696 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1548 OLD HWY 5 SOUTHELLIJAY, GA, 30540Browse GA providers · Browse ZIP 30540
- Phone
- 7062737477
- Fax
- 7062768474
- Primary Specialty
-
Emergency Medical Technician, Paramedic
146M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.