Georgia Em-I Medical Service PC
Emergency Medicine in Cochran, GA. Organization (NPI-2).
NPI number1669909008
StatusActive
Last updated in NPPESMay 16, 2017
Details
- NPI
- 1669909008
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Em-I Medical Service PC
- Organization subpart
- No
- Enumeration date
- May 16, 2017
- Last updated
- May 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
145 E Peacock StCochran, GA 31014-7846
Phone 469-401-2386
Mailing address
13737 Noel Rd Ste 1600Dallas, TX 75240-1374
Phone 469-401-2386
Authorized official
Gregory J Byrne
Officer
4694012386
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