Organization
CEP AMERICA LLC
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BIRDSALL MD (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058-4996
(404) 501-8700
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369360971A
—
GA
Enumeration date
05/23/2006
Last updated
04/01/2020
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