Organization
REDMOND ER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY M JOHNSON MD (MEDICAL DIRECTOR)
(706) 291-0291
Entity
Organization
Contact information
Practice address
501 REDMOND RD NW, EMERGENCY DEPARTMENT, ROME, GA 30165-1415
(706) 291-0291
Mailing address
PO BOX 162970, ATLANTA, GA 30321-2970
(706) 291-0291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529802240
—
AL
01
—
CN5320
RRGA
GA
Enumeration date
06/21/2006
Last updated
06/23/2008
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