Coffee Emergency Group LLC

NPI #1023353489 in Douglas, Georgia

Provider Information

NPI Number: 1023353489
Entity Type: Organization
Organization Name: Coffee Emergency Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 11, 2012
Last Updated: Mar 23, 2022

Practice Location

Address: 1101 OCILLA RD
City: Douglas
State: Georgia
ZIP Code: 31533-2207
Phone: (800) 893-9698

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (337) 609-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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