Individual
TIMOTHY BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
1870 AIRPORT RD, CANON, GA 30520-2005
(706) 491-5748
Mailing address
1870 AIRPORT RD, CANON, GA 30520-2005
(706) 491-5748
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
005822
GA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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