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Organization

EMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAVONDA CRAVEY (MANAGER)
(912) 384-1900
Entity
Organization

Contact information

Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 383-5667
Mailing address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 383-5667

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary

Other

Enumeration date
05/12/2011
Last updated
05/12/2011
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