Organization
FORT MOUNTAIN EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD G ZIMMERMAN (PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
707 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2029
(706) 517-2057
(706) 517-3797
Mailing address
PO BOX 37913, PHILADELPHIA, PA 19101-0510
(800) 507-8874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
07/05/2013
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