Organization
FOOTHILLS EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R PENNINGTON M.D. (SECRETARY)
(706) 746-6571
Entity
Organization
Contact information
Practice address
196 RIDGECREST CIR, CLAYTON, GA 30525-4111
(706) 746-6571
(706) 746-5643
Mailing address
196 RIDGECREST CIR, CLAYTON, GA 30525-4111
(706) 746-6571
(706) 746-5643
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
09/03/2008
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