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Organization

GEMINI EMERGENCY PHYSICIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TENNA BEHM (OFFICER)
(469) 401-2386
Entity
Organization

Contact information

Practice address
270 E MAIN ST, CENTREVILLE, MS 39631-4200
(469) 401-2386
Mailing address
PO BOX 98995, LAS VEGAS, NV 89193-8995

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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