NPI 1790247070

Jonathan Pace, EMTI

Practitioner Intermediate Emergency Medical Technician Stone Mountain, GA

Practice location

Address: 4683 Redan Rd, Stone Mountain, GA 30083
Phone: (678) 492-5466

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence I042897 (GA)

Other Emergency Medical Technician, Intermediate providers in Georgia →

Registry record

NPI: 1790247070
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2019
Record last updated: 4 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.