Organization
HICKORY HILL EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W. TAYLOR (EXECUTIVE VICE PRESIDENT)
(800) 444-7009
Entity
Organization
Contact information
Practice address
521 W. HILL STREET, THOMSON, GA 30824-2199
(706) 595-1411
Mailing address
815 S PALAFOX ST, THIRD FLOOR, PENSACOLA, FL 32502-5960
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977483105A
—
GA
Enumeration date
11/25/2009
Last updated
05/03/2011
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