Organization
GEORGIA EM-1 MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BYRNE (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-2000
Mailing address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
01/29/2009
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