Middle Georgia Emergency Group, LLC

NPI #1588021828 in Riverdale, Georgia

Provider Information

NPI Number: 1588021828
Entity Type: Organization
Organization Name: Middle Georgia Emergency Group, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 18, 2016
Last Updated: Mar 3, 2017

Practice Location

Address: 11 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2615
Phone: (770) 991-8000

Authorized Official

Name: MR. CHRISTOPHER BRIAN DURHAM
Title: PRESIDENT
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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