Bleckley Emergency Group Llc

NPI 1083928733 - Physician Assistant - 363AM0700X

NPI Details
NPI 1083928733
Enumeration Date 08/04/2010
Last Updated 08/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WILLIAM C WILLIAM
Position CEO
Phone (478) 934-6214
Fax
Practice Location
408 PEACOCK ST
COCHRAN GA, 31014-9427, US
Phone (478) 934-6214
Fax
Business Location
200 CORPORATE BLVD
SUITE 201
LAFAYETTE LA, 70508-3870, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number
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According to our database, Bleckley Emergency Group Llc NPI is 1083928733, taxonomy code is 363AM0700X Bleckley Emergency Group Llc physically located at 408 Peacock St, Cochran GA, 31014-9427. NPI Number 1033115704 has the healthcare provider type.

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1083928733 NPI number is provided on an as is basis without warranty of any kind. 1083928733 is maintained by the National Plan & Provider Enumeration System. The contents of Bleckley Emergency Group Llc are for informational purposes only.