Organization
CLUBVIEW EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J. BYRNE M.D. (PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(800) 507-8874
(727) 536-2896
Mailing address
PO BOX 37805, PHILADELPHIA, PA 19101-0105
(800) 507-8874
(727) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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