# GEORGIA EM-I MEDICAL SERVICE PC

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

## Provider details

- **NPI number:** 1184990202
- **Authorized official:** KAREN VAUGHN (OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
- **Practice address phone:** (770) 979-0200
- **Mailing address:** 18167 US HIGHWAY 19 NORTH SUITE 650, CLEARWATER, FL 33764-3528
- **Mailing address phone:** (800) 507-8874
- **Mailing address fax:** (727) 536-2896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 03/22/2023