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Organization

HARDIN EMERGENCY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISHA C FALK (VP OF CONTRACTING)
(337) 609-1221
Entity
Organization

Contact information

Practice address
2006 WAYNE RD, SAVANNAH, TN 38372-2236
(800) 893-9698
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(337) 354-1153

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1530659
TN
Enumeration date
08/14/2012
Last updated
03/23/2022
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