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Organization

GEORGIA EM-I MEDICAL SERVICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
18167 US HIGHWAY 19 NORTH SUITE 650, CLEARWATER, FL 33764-3528
(800) 507-8874
(727) 536-2896

Taxonomy

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

Other

Enumeration date
03/23/2012
Last updated
03/22/2023
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