Organization
BD CLINTON ENTERPRISES INC
Active
Other names
Johnson Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY MICHELLE CLINTON (PRESIDENT)
(770) 424-9716
Entity
Organization
Contact information
Practice address
1535 AUSTELL ROAD, MARIETTA, GA 30060
(770) 424-9716
(770) 420-7244
Mailing address
1807 KIMBERLY DRIVE, MARIETTA, GA 30008
(770) 424-9716
(770) 420-7244
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00785254A
—
GA
Enumeration date
11/01/2006
Last updated
08/22/2020
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