Organization
GEORGIA EMERGENCY DEPARTMENT SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA EMERGENCY DE GEORGIA EMERGENCY DEPARTMENT SERVIC (OPS MANAGER)
(808) 294-0714
Entity
Organization
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 536-2146
Mailing address
PO BOX 3387, INDIANAPOLIS, IN 46206-3387
(866) 863-6635
(855) 269-9731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH6759
RAILROAD MEDICARE
GA
Enumeration date
07/20/2006
Last updated
03/28/2024
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