Chestnut Oak Emergency Physicians LLC
Emergency Medicine in Snellville, GA. Organization (NPI-2).
NPI number1568744951
StatusActive
Last updated in NPPESJun 18, 2014
Details
- NPI
- 1568744951
- Entity type
- Organization (NPI-2)
- Legal business name
- Chestnut Oak Emergency Physicians LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2011
- Last updated
- Jun 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
1700 Medical WaySnellville, GA 30078-2195
Phone 770-979-0200
Mailing address
13737 Noel RoadSte 1600
Clearwater, TX 33764-6576
Phone 469-401-2386 · Fax 214-712-2444
Authorized official
Ross R. Ronan
Vice President
4694012386
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