Organization
WILLOW EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (VP)
(973) 251-1132
Entity
Organization
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(973) 251-1132
Mailing address
815 S PALAFOX ST, STE 300, PENSACOLA, FL 32502-5960
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
12/05/2019
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