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DOUGLAS ABBATTISTA

>> Emergency Medical Technician, Basic >> Emergency Medical Service Providers

Registrant NPI Number: 1528466117

Individual Registrant:
 DOUGLAS  ABBATTISTA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1061 HARMON AVE  FORT STEWART, GA 31314-5641 US
Tel: 912-435-6001  Fax: --

Contact information for business:
411 E 9TH ST  FORT STEWART, GA 31314-5036 US
Tel: 201-820-5611  Fax: --

Registration Information:
NPI: 1528466117
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y146N00000XEmergency Medical Service Providers
Emergency Medical Technician, Basic
E3038932

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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