Waynesboro Emergency Services II, LLC
Emergency Medicine in Waynesboro, TN. Organization (NPI-2).
NPI number1013965516
StatusActive
Last updated in NPPESJul 23, 2008
Details
- NPI
- 1013965516
- Entity type
- Organization (NPI-2)
- Legal business name
- Waynesboro Emergency Services II, LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2006
- Last updated
- Jul 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
103 Jv Mangubat DrWaynesboro, TN 38485-2440
Phone 931-722-5411 · Fax 904-805-1302
Mailing address
Po Box 534114Atlanta, GA 30353-4114
Phone 904-805-1300 · Fax 904-805-1302
Authorized official
Robert J Bunker
Chairman/President/Ceo
9048051300
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