Ehra Medical Services Of Georgia, PC
Emergency Medicine in Snellville, GA. Organization (NPI-2).
NPI number1083023543
StatusActive
Last updated in NPPESAug 10, 2014
Details
- NPI
- 1083023543
- Entity type
- Organization (NPI-2)
- Legal business name
- Ehra Medical Services Of Georgia, PC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2014
- Last updated
- Aug 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1700 Medical WaySnellville, GA 30078-2195
Phone 770-979-0200
Mailing address
13737 Noel RdSte 1600
Dallas, TX 75240-1331
Phone 469-401-2386 · Fax 214-712-2444
Authorized official
Gregory Byrne
President
4694012386
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