Ellington, Jackie Dwayne

Ellington, Jackie Dwayne is an sole proprietor health care provider with primary practice located at 1548 Old Hwy 5 South , Ellijay GA 30540. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Ellington, Jackie Dwayne can be contacted via phone (706) 273-7477.

Contact Information

Primary practice address
1548 Old Hwy 5 South Ellijay GA 30540
Phone: (706) 273-7477
Fax: (706) 276-8474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X 28696 Georgia

Profile Details

NPI number 1841540754
LBN Legal business name Ellington, Jackie Dwayne
Credentials EMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Sep 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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