Organization
SCOTTSBORO EMERGENCY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA FALK (CORPORATE COMPLIANCE)
(800) 893-9698
Entity
Organization
Contact information
Practice address
380 WOODS COVE RD, SCOTTSBORO, AL 35768-2428
(256) 295-4444
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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