Acs Emergency Physicians PA
NPI #1649384512 in Picayune, Mississippi
Provider Information
- NPI Number
- 1649384512
- Entity Type
- Organization
- Organization Name
- Acs Emergency Physicians PA
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Oct 24, 2007
Practice Location
- Address
- 801 GOODYEAR BLVD
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-3221
- Phone
- (601) 798-4711
Authorized Official
- Name
- JACKIE LANE
- Title
- CFO
- Phone
- (954) 475-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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