# BD CLINTON ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225115975
- **Authorized official:** MS. TRACY MICHELLE CLINTON (PRESIDENT)
- **Authorized official phone:** (770) 424-9716

## Contact information

- **Practice address:** 1535 AUSTELL ROAD, MARIETTA, GA 30060
- **Practice address phone:** (770) 424-9716
- **Practice address fax:** (770) 420-7244
- **Mailing address:** 1807 KIMBERLY DRIVE, MARIETTA, GA 30008
- **Mailing address phone:** (770) 424-9716
- **Mailing address fax:** (770) 420-7244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 03337 | GA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00785254A | — | GA |