Emergency Medicine South LLC

NPI #1194785170 in Valdosta, Georgia

Provider Information

NPI Number: 1194785170
Entity Type: Organization
Organization Name: Emergency Medicine South LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 24, 2006
Last Updated: Dec 12, 2008

Practice Location

Address: 2501 N PATTERSON ST
City: Valdosta
State: Georgia
ZIP Code: 31602
Phone: (229) 333-1000

Authorized Official

Name: PAM KLEBOSITS
Title: PRACTICE ADMINISTRATOR
Phone: (229) 259-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Emergency Care — Emergency Care	261QE0002X
Emergency Medicine	207P00000X	Primary

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