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Organization
EMERALD WATERS INPATIENT SERVICES LLC
Active
Organization
EMERALD WATERS INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BYRNE M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
449 W 23RD ST, PANAMA CITY, FL 32405-4507
(850) 769-8341
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
06/04/2014
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