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Organization

FLINT EMERGENCY MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBY F YATES MD (PRESIDENT)
(386) 274-7800
Entity
Organization

Contact information

Practice address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3258
Mailing address
PO BOX 9306, DAYTONA BEACH, FL 32120-9306
(386) 274-7800
(386) 274-7801

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
08/09/2010
Last updated
08/09/2010
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