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Organization

GREENBRIER EMERGENCY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANDAL L. DABBS M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization

Contact information

Practice address
100 HOYLMAN DR, GASSAWAY, WV 26624-9320
(304) 364-5156
Mailing address
PO BOX 634715, CINCINNATI, OH 45263-4715
(888) 203-1274

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001712003
WEST VIRGINIA BLUE SHIELD
WV
05
0207350-000
WV
Enumeration date
06/06/2006
Last updated
01/23/2015
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