Lavonia Emergency Group LLC
NPI #1871962803 in Lavonia, Georgia
Provider Information
- NPI Number
- 1871962803
- Entity Type
- Organization
- Organization Name
- Lavonia Emergency Group LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Sep 21, 2015
- Last Updated
- Sep 21, 2015
Practice Location
Authorized Official
- Name
- RYAN DOMENGEAUX
- Title
- GENERAL COUNSEL
- Phone
- (800) 893-9698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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