Organization
GEORGE REGIONAL ER PHYSICIANS
Active
Organization
GEORGE REGIONAL ER PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY FENDER (ADMINISTRATOR)
(601) 947-8181
Entity
Organization
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-1331
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-1332
(601) 947-1331
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01839854
—
MS
Enumeration date
06/04/2015
Last updated
11/07/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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