Gordonia Emergency Physicians

NPI 1497953822 - Emergency Medicine - 207P00000X

NPI Details
NPI 1497953822
Enumeration Date 07/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JENNIFER JENNIFER
Position SUPERVISOR OF PROVIDER ENROLLMENT
Phone (912) 557-1000
Fax
Practice Location
247 S MAIN ST
REIDSVILLE GA, 30453-4605, US
Phone (912) 557-1000
Fax
Business Location
PO BOX 41631
PHILADELPHIA PA, 19101-1631, US
Phone (800) 355-0808
Fax (215) 834-2862
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Gordonia Emergency Physicians NPI is 1497953822, taxonomy code is 207P00000X Gordonia Emergency Physicians physically located at 247 S Main St, Reidsville GA, 30453-4605. NPI Number 1033115704 has the healthcare provider type.

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1497953822 NPI number is provided on an as is basis without warranty of any kind. 1497953822 is maintained by the National Plan & Provider Enumeration System. The contents of Gordonia Emergency Physicians are for informational purposes only.