Organization
GREENVILLE EMERGENCY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A COLE JR. (MD)
(800) 726-3627
Entity
Organization
Contact information
Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1648224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493484
ANTHEM BCBS
OH
05
—
2723888
—
OH
01
—
DF5426
RR MEDICARE
—
Enumeration date
10/11/2006
Last updated
10/15/2007
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