Organization
NES OF SHELBY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE (CEO)
(415) 435-4591
Entity
Organization
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 333-1000
Mailing address
PO BOX 636482, CINCINNATI, OH 45263-6482
(800) 377-8721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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