Organization
MISSISSIPPI EMERGENCY PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHILLINGER (ENROLLMENT MANAGER)
(877) 693-5700
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
300 S PARK RD, SUITE 400, HOLLYWOOD, FL 33021-8593
(800) 815-8377
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/29/2013
Last updated
04/10/2014
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