Organization
EMERGENCY MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHASTAIN (PROVIDER ENROLLMENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4002
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005338
VA
Other
Enumeration date
05/16/2016
Last updated
12/17/2024
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