Montgomery Emergency Group, LLC

NPI #1861773764 in Vidalia, Georgia

Provider Information

NPI Number: 1861773764
Entity Type: Organization
Organization Name: Montgomery Emergency Group, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 6, 2011
Last Updated: Apr 4, 2023

Practice Location

Address: 1 MEADOWS PKWY
City: Vidalia
State: Georgia
ZIP Code: 30474-8759
Phone: (912) 535-5555

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (337) 609-1221

Specialties & Taxonomy Codes

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

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