Healthcare Provider Details

I. General information

NPI: 1083044820
Provider Name (Legal Business Name): EMG SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 BAKER AVE
CLANTON AL
35045-2337
US

IV. Provider business mailing address

PO BOX 241686
MONTGOMERY AL
36124-1686
US

V. Phone/Fax

Practice location:
  • Phone: 334-396-3273
  • Fax: 334-396-4905
Mailing address:
  • Phone: 334-396-3273
  • Fax: 334-396-4905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. QUINN MILLINGTON
Title or Position: OWNER
Credential: DPT
Phone: 334-396-3273