Memorial Health Urgentone, Inc.

NPI #1083782189 in Pooler, Georgia

Provider Information

NPI Number: 1083782189
Entity Type: Organization
Organization Name: Memorial Health Urgentone, Inc.
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 30, 2006
Last Updated: May 20, 2011

Practice Location

Address: 110 MEDICAL PARK DR
City: Pooler
State: Georgia
ZIP Code: 31322-1956
Phone: (912) 748-1515

Authorized Official

Name: ROBIN J. MADDOX
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
General Practice	208D00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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