Organization
ST ANDREWS BAY EMERGENCY PHYSICIANS, PLLC
Active
Other names
ST ANDREWS BAY EMERGENCY PHSYCIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E GREEN MD (PRESIDENT/CEO)
(931) 614-6635
Entity
Organization
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 760-1511
Mailing address
PO BOX 31297, CLARKSVILLE, TN 37040-0022
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
10/30/2012
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