Organization
PROFESSIONAL EMERGENCY PHYSICIAN ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT MCINTYRE (CFO)
(850) 602-0625
Entity
Organization
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
(405) 341-9217
Mailing address
DEPT AT 952639, ATLANTA, GA 31192-2639
(405) 240-9381
(405) 341-9217
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449644
—
LA
Enumeration date
05/18/2006
Last updated
12/29/2025
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