Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WAYNESBORO EMERGENCY SERVICES II, LLC
Active
Organization
WAYNESBORO EMERGENCY SERVICES II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-5411
(904) 805-1302
Mailing address
PO BOX 534114, ATLANTA, GA 30353-4114
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154004300
DEPT OF LABOR
TN
05
—
3727708
—
TN
01
—
DC2765
RAIL ROAD MEDICARE
TN
Enumeration date
05/05/2006
Last updated
07/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up