Attala Emergency Group LLC

NPI #1407103294 in Kosciusko, Mississippi

Provider Information

NPI Number: 1407103294
Entity Type: Organization
Organization Name: Attala Emergency Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 10, 2012
Last Updated: Mar 23, 2022

Practice Location

Address: 220 HIGHWAY 12 W
City: Kosciusko
State: Mississippi
ZIP Code: 39090-3208
Phone: (662) 289-4311

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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