Organization · NPI-2

Basking Shark Emergency Physicians LLC

Emergency Medicine · Dublin, GA

NPI number1497147441
StatusActive
Last updated in NPPESFeb 28, 2015

Details

NPI
1497147441
Entity type
Organization (NPI-2)
Legal business name
Basking Shark Emergency Physicians LLC
Organization subpart
No
Enumeration date
Feb 28, 2015
Last updated
Feb 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

200 Industrial Blvd
Dublin, GA 31021-2981

Phone 469-401-2386

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374

Phone 469-401-2386

Authorized official

Ross Ronan
Vice President
4694012386

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