National Provider Identifier Database

CLIFORD CHARLES
Emergency Medical Technician, Basic

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.


Contact Information

CLIFORD CHARLES
616 DYER DR
LOCUST GROVE, GA30248-2350
Phone: 770-480-9608
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medical Technician, Basic 146N00000X

* Indicates primary specialty

NPI Profile & details for CLIFORD CHARLES

NPI Number 1346982766
Credentials
Entity Individual
Enumeration date 04/07/2022
Last updated 03/31/2024 - About 2 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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