Organization
PROFESSIONAL EMERGENCY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMI A. WHITE (CEO)
(734) 632-0175
Entity
Organization
Contact information
Practice address
1500 N 28TH ST, RICHMOND, VA 23223-5332
(804) 225-1780
(804) 225-1705
Mailing address
2987 MOMENTUM PL, CHICAGO, IL 60689-5329
(734) 805-0477
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114199650
ANTHEM BC
VA
05
—
1114199650
—
VA
Enumeration date
03/25/2008
Last updated
03/12/2012
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