KEITH BACKMON
Non-emergency Medical Transport (VAN)
Active
Individual
NPI: 1912556069
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes | BL-001113-2019 (GA) |
Frequently Asked Questions
NPI 1912556069 is the National Provider Identifier for KEITH BACKMON, a Non-emergency Medical Transport (VAN) provider located in Rex, GA. This NPI was enumerated on September 10, 2019.
KEITH BACKMON practices at 5658 REX RIDGE LOOP, Rex, GA 30273.
Quick Facts
- NPI
- 1912556069
- Type
- Individual
- Enumerated
- Sep 10, 2019
- Last Updated
- Sep 17, 2021
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