Individual provider · NPI-1

Nelson Blake Giles, EMT-IV

Emergency Medical Technician, Intermediate · Memphis, TN

NPI number1861761769
StatusActive
Last updated in NPPESDec 21, 2011

Details

NPI
1861761769
Entity type
Individual (NPI-1)
Name
Nelson Blake Giles
Credential
EMT-IV
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 21, 2011
Last updated
Dec 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
146M00000X Emergency Medical Technician, Intermediate37400TNYes
172A00000X Driver104882749TN

Practice location

956 Leath St
Memphis, TN 38107-2615

Phone 901-834-2900

Mailing address

956 Leath St
Memphis, TN 38107-2615

Phone 901-834-2900

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