Organization
STERLING EMERGENCY SERVICES OF THE MIDWEST, INC
Active
Other names
Ellington Emergency Department Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
1080 N ELLINGTON PKWY, LEWISBURG, TN 37091-2227
(931) 359-6241
(904) 805-1302
Mailing address
PO BOX 532734, ATLANTA, GA 30353-2734
(904) 805-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30997
RAIL ROAD MEDICARE
TN
Enumeration date
05/03/2006
Last updated
07/23/2008
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