# DODGE EMERGENCY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164481065
- **Authorized official:** DR. WILLIAM SCHUMACHER MD (CEO)
- **Authorized official phone:** (800) 893-9698

## Contact information

- **Practice address:** 715 GRIFFIN AVE, EASTMAN, GA 31023-6716
- **Practice address phone:** (478) 374-4000
- **Mailing address:** 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
- **Mailing address phone:** (800) 893-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 09/11/2025