Organization
EAST GEORGIA EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL P HERRINGTON SR. M.D. (PRESIDENT)
(912) 865-9353
Entity
Organization
Contact information
Practice address
660 SNOOPY LN, PORTAL, GA 30450-4802
(912) 865-9353
(912) 865-4175
Mailing address
PO BOX 566, STATESBORO, GA 30459-0566
(912) 865-9353
(912) 865-4175
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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