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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

NPI Number 1194785170
LBN Legal business name EMERGENCY MEDICINE SOUTH LLC
Authorized official PAM KLEBOSITS - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2006
Last updated 12/12/2008 - About 17 years ago
Identifiers
FL Medicaid 256338100
FL Medicaid 258338100
GA Medicaid 300033708A
Other 158191000 FECA US DEPT OF LABOR
GA Other 5272824401 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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