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Contact Information

EMERGENCY MEDICINE SOUTH LLC
2501 N PATTERSON ST
VALDOSTA, GA31602
 Phone: 229-333-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Care

261QE0002X
Indicates primary specialty

NPI Profile & details for EMERGENCY MEDICINE SOUTH LLC · (Female)

NPI # 1194785170
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2006
Last updated 12/12/2008 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 256338100
  • FL Medicaid 258338100
  • GA Medicaid 300033708A
  • Other 158191000 FECA US DEPT OF LABOR
  • GA Other 5272824401 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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