Organization
EMERGENCY PHYSICIANS OF FORSYTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S SCHILLINGER (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
88 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1682
(478) 994-2521
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
—
003194609A
—
GA
01
—
202G705121
MEDICARE OF GEORGIA
GA
Enumeration date
06/29/2017
Last updated
05/07/2021
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