# GEORGIA EM-1 MEDICAL SERVICES PC

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

## Provider details

- **NPI number:** 1568614600
- **Authorized official:** GREGORY BYRNE (PRESIDENT)
- **Authorized official phone:** (214) 712-2000

## Contact information

- **Practice address:** 200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
- **Practice address phone:** (478) 275-2000
- **Mailing address:** 18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 01/29/2009