Jackie Dwayne Ellington, EMT

NPI #1841540754 in Ellijay, Georgia

Provider Information

NPI Number
1841540754
Entity Type
Individual
Name
Jackie Dwayne Ellington, EMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Emergency Medical Technician, Intermediate
Credential
EMT
Enumeration Date
Sep 18, 2012
Last Updated
Sep 18, 2012

Practice Location

Address
1548 OLD HWY 5 SOUTH
State
Georgia
ZIP Code
30540
Phone
(706) 273-7477

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Intermediate

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