Organization
CHESTNUT OAK EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS R. RONAN (VICE PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
13737 NOEL ROAD, STE 1600, CLEARWATER, TX 33764-6576
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
06/18/2014
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