Organization
GA MASTERS EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS RONAN (VICE PRESIDENT/ ANCILLARY SERVICES)
(303) 495-1263
Entity
Organization
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 651-3232
Mailing address
PO BOX 37954, PHILADELPHIA, PA 19101
(800) 355-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/25/2013
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