Organization
EMERGENCY PHYSICIANS OF COFFEE COUNTY, LLC
Active
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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