Organization
EVERGREEN EMERGENCY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C SCHUMACHER M.D. (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
427 EVERGREEN HWY, BUNKIE, LA 71322-0380
(800) 893-9698
Mailing address
200 COPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
LA
363A00000X
Physician Assistant
—
LA
363L00000X
Nurse Practitioner
—
LA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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