Organization
EMERGENCY PHYSICIANS GROUP ATHENS-LIMESTONE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL RICHARDSON JR. (VICE PRESIDENT)
(256) 265-9891
Entity
Organization
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2457
(256) 265-9891
(256) 518-8276
Mailing address
PO BOX 11407 DRAWER 314, BIRMINGHAM, AL 35246-0001
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C16253
RR MEDICARE
AL
01
—
F791
BCBS
AL
Enumeration date
09/15/2005
Last updated
07/13/2007
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