Organization
JONES LAKE EMERGENCY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S SCHILLINGER MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
310 S MCCASKEY RD, WILLIAMSTON, NC 27892-2150
(252) 809-6179
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371609486
—
NC
Enumeration date
07/02/2019
Last updated
05/17/2021
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