Organization
HARGRAVE EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J. BYRNE MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742-3643
(706) 585-2000
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/15/2012
Last updated
12/24/2013
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