Organization
CAPITAL EMERGENCY PHYSICIANS MADISON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SOMERBY (VP OPERATIONS)
(629) 203-7320
Entity
Organization
Contact information
Practice address
161 RIVER OAKS DR, CANTON, MS 39046-5375
(866) 855-4000
Mailing address
PO BOX 96395, OKLAHOMA CITY, OK 73143-6395
(629) 203-7320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
09/26/2019
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