Organization
ETOWAH EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
304 TURNER MCCALL BLVD, ROME, GA 30165-5621
(706) 509-5000
Mailing address
PO BOX 21663, BELFAST, ME 04915-4113
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
08/04/2022
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