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Organization

COOSA RIVER EMERGENCY PHYSICIANS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK E GREEN MD (PRESIDENT/CEO)
(931) 614-6379
Entity
Organization

Contact information

Practice address
400 E 100TH STREET, ANNISTON, AL 36202
(256) 235-5121
Mailing address
P.O. BOX 31328, CLARKSVILLE, TN 37040

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
06/19/2012
Last updated
06/19/2012
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