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NPI Code Detail

MEDICARE: APPALACHIAN EMERGENCY PHYSICIANS

MEDICARE: APPALACHIAN EMERGENCY PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1831492255
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPALACHIAN EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 534964
Second Line :
City : ATLANTA
State : GA
Zip : 30353-4950
Country : US
Telephone Number : 866-916-5259
Fax Number : 231-922-4030
Provider Business Practice Location Address
First Line : 300 MED TECH PKWY
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2277
Country : US
Telephone Number : 423-302-1000
Fax Number :
Authorized Official
Title or Position : PRESIDENT OF BLUE RIDGE MEDICAL MGT
Name : CARL S KILGORE
Credential :
Telephone Number : 866-916-5259
Provider Enumeration Date : 12/07/2010
Last Update Date : 01/26/2011

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Directions to “APPALACHIAN EMERGENCY PHYSICIANS ” Practice Location

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