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Organization

POLK EMERGENCY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSS RONAN (VICE PRESIDENT)
(469) 401-2386
Entity
Organization

Contact information

Practice address
101 HOSPITAL DR, COLUMBUS, NC 28722-6418
(828) 894-3311
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0761G
NORTH CAROLINA BLUE SHIEL
NC
05
690761G
NC
05
NPB071
SC
Enumeration date
06/06/2006
Last updated
02/06/2014
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