Organization
GEORGIA EMERGENCY MEDICINE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BOSTDORFF (AUTHORIZED OFFICIAL)
(706) 340-2138
Entity
Organization
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
7982 MACON HWY, WATKINSVILLE, GA 30677-2044
(706) 475-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10037058
AMERIGROUP
GA
Enumeration date
03/23/2007
Last updated
09/18/2024
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