Coosa River Emergency Physicians, Pllc

NPI 1194088716 - Emergency Medicine - 207P00000X

NPI Details
NPI 1194088716
Enumeration Date 06/19/2012
Last Updated 06/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARK E MARK
Position PRESIDENT/CEO
Phone (256) 235-5121
Fax
Practice Location
400 E 100TH STREET
ANNISTON AL, 36202, US
Phone (256) 235-5121
Fax
Business Location
P.O. BOX 31328
CLARKSVILLE TN, 37040, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Coosa River Emergency Physicians, Pllc NPI is 1194088716, taxonomy code is 207P00000X Coosa River Emergency Physicians, Pllc physically located at 400 E 100th Street, Anniston AL, 36202. NPI Number 1033115704 has the healthcare provider type.

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1194088716 NPI number is provided on an as is basis without warranty of any kind. 1194088716 is maintained by the National Plan & Provider Enumeration System. The contents of Coosa River Emergency Physicians, Pllc are for informational purposes only.