Willow Bend Emergency Group, LLC
NPI #1346808490 in Picayune, Mississippi
Provider Information
- NPI Number
- 1346808490
- Entity Type
- Organization
- Organization Name
- Willow Bend Emergency Group, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jun 4, 2019
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 130 HIGHLAND PKWY
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-5574
- Phone
- (601) 358-9400
Authorized Official
- Name
- LISHA FALK
- Title
- VP OF CONTRACTING
- Phone
- (337) 609-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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