Organization
COMMERCE PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY EBERT (CFO)
(706) 335-1113
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1113
Mailing address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1113
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
001437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012 001437
BUSINESS LICENSE
GA
Enumeration date
07/30/2012
Last updated
08/07/2012
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