Organization
EMERGENCY PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE YOUNGER (CFO)
(256) 265-9891
Entity
Organization
Contact information
Practice address
101 SIVLEY RD SW, EM DEPT, HUNTSVILLE, AL 35801-4421
(256) 265-9891
(256) 518-8276
Mailing address
PO BOX 11407 DRAWER 0314, BIRMINGHAM, AL 35246-0314
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310160500
DEPT OF LABOR OWCP
AL
05
—
529500710
—
AL
01
—
CE9952
RAILROAD MEDICARE GROUP
AL
01
—
F793
BCBS
AL
Enumeration date
09/15/2005
Last updated
02/10/2010
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