IndividualActive
Cliford Charles
NPI 1346982766 · Basic Emergency Medical Technician · Locust Grove, GA
Provider details
- NPI number
- 1346982766
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
616 Dyer Dr
Locust Grove, GA 30248-2350
Phone: (770) 480-9608
Approximate (ZIP-level) locationGet directions
Mailing address
616 Dyer Dr
Locust Grove, GA 30248-2350
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2024-03-31
- Certified
- 2024-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.