Georgetown Emergency Group PC Inc.

NPI #1720330541 in Georgetown, Ohio

Provider Information

NPI Number: 1720330541
Entity Type: Organization
Organization Name: Georgetown Emergency Group PC Inc.
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 3, 2012
Last Updated: Oct 3, 2012

Practice Location

Address: 425 HOME ST
City: Georgetown
State: Ohio
ZIP Code: 45121-1407
Phone: (337) 354-1153

Authorized Official

Name: DR. MARK MITCHELL, DO
Title: PRESIDENT
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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