Jackie Dwayne Ellington

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NPI Number Detailed Information

Provider Information:

Name:	Jackie Dwayne Ellington
Gender:	M
Provider License Number If Given:	28696

NPI Information:

NPI:	1841540754
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/18/2012
Last Update Date:	9/18/2012

Provider Business Mailing Address:

Address:	PO BOX 1725 Ellijay, GA 30540
Phone Number:	7062737477
Fax Number:	7062768474

Provider Business Practice Location Address:

Address:	1548 OLD HWY 5 SOUTH Ellijay, GA 30540
Phone Number:	7062737477
Fax Number:	7062768474

Provider Taxonomy:

Primary:	146M00000X
Secondary (if any):
State:	GA

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About Jackie Dwayne Ellington

Jackie Dwayne Ellington ( JACKIE DWAYNE ELLINGTON ) is An Emergency Medical Technician, Intermediate Physician in Ellijay, GA. The NPI Number for Jackie Dwayne Ellington is 1841540754.

The current location address for Jackie Dwayne Ellington is 1548 OLD HWY 5 SOUTH Ellijay, GA 30540 and the contact number is 7062737477 and fax number is 7062768474. The mailing address for Jackie Dwayne Ellington is PO BOX 1725 Ellijay, GA 30540- 7062737477 (mailing address contact number - 7062737477).

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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FAQs:

What is the NPI Number for Jackie Dwayne Ellington ?

Answer: The NPI Number for Jackie Dwayne Ellington is 1841540754

Where is Jackie Dwayne Ellington located?

Answer: Jackie Dwayne Ellington is located at 1548 OLD HWY 5 SOUTH Ellijay, GA 30540.

What is the specialty for Jackie Dwayne Ellington ?

Answer: The Specialty of Jackie Dwayne Ellington is An Emergency Medical Technician, Intermediate Physician.

Are there any online reviews for Jackie Dwayne Ellington ?

Answer: Not yet!

Are there any other health care providers in Ellijay, GA?

Answer: Yes, there are given below...

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