Organization
STONEY BROOK EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E GREEN MD (PRESIDENT)
(931) 249-0655
Entity
Organization
Contact information
Practice address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3369
(256) 435-4970
Mailing address
PO BOX 31747, CLARKSVILLE, TN 37040-0030
(205) 313-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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