Gordonia Emergency Physicians

NPI #1497953822 in Reidsville, Georgia

Provider Information

NPI Number: 1497953822
Entity Type: Organization
Organization Name: Gordonia Emergency Physicians
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 247 S MAIN ST
City: Reidsville
State: Georgia
ZIP Code: 30453-4605
Phone: (912) 557-1000

Authorized Official

Name: JENNIFER PROVASNIK
Title: SUPERVISOR OF PROVIDER ENROLLMENT
Phone: (800) 355-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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