Organization · NPI-2
Advantus Emergency Physicians, LLC
Emergency Medicine · Bremen, GA
NPI number1700259538
StatusActive
Last updated in NPPESNov 17, 2015
Details
- NPI
- 1700259538
- Entity type
- Organization (NPI-2)
- Legal business name
- Advantus Emergency Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2015
- Last updated
- Nov 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
200 Allen Memorial DrBremen, GA 30110-2012
Phone 469-401-2386
Mailing address
Po Box 80068Philadelphia, PA 19101-0068
Phone 469-401-2386
Authorized official
Gregory J. Byrne, M.D.
Officer
4694012386
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