Organization
GEORGIA EM-I MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BYRNE M.D. (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-6000
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/28/2008
Last updated
11/19/2009
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