Organization
RUSSELL COUNTY COMMUNITY HOSPITAL, LLC
Active
Other names
Summit Hospital ER Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L. JETER CPA (CHIEF FINANCIAL OFFICER)
(334) 732-3458
Entity
Organization
Contact information
Practice address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3000
(334) 732-3020
Mailing address
4401 RIVER CHASE DR, PHENIX CITY, AL 36867-7483
(334) 732-3000
(334) 732-3020
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
H5703
AL
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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