IndividualActive
Timothy Bohannon, PARAMEDIC
NPI 1619778115 · Paramedic · Canon, GA
Provider details
- NPI number
- 1619778115
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Credential
- PARAMEDIC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005822 (GA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
1870 Airport Rd
Canon, GA 30520-2005
Phone: (706) 491-5748
Approximate (ZIP-level) locationGet directions
Mailing address
1870 Airport Rd
Canon, GA 30520-2005
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.