Fannin Emergency Group LLC
NPI #1588962880 in Blue Ridge, Georgia
Provider Information
- NPI Number
- 1588962880
- Entity Type
- Organization
- Organization Name
- Fannin Emergency Group LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Mar 10, 2011
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 2855 OLD HIGHWAY 5
- City
- Blue Ridge
- State
- Georgia
- ZIP Code
- 30513-6248
- Phone
- (706) 632-3711
Authorized Official
- Name
- LISHA C FALK
- Title
- VP OF CONTRACTING
- Phone
- (337) 609-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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