Healthcare Provider Details
I. General information
NPI: 1366782245
Provider Name (Legal Business Name): EMG SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2013
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1340 HIGHWAY 231 S SUITE 2
TROY AL
36081-3011
US
IV. Provider business mailing address
PO BOX 241686
MONTGOMERY AL
36124-1686
US
V. Phone/Fax
- Phone: 334-396-3273
- Fax: 334-396-4905
- Phone: 334-396-3273
- Fax: 334-396-4905
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251E1300X |
| Taxonomy | Clinical Electrophysiology Physical Therapist |
| License Number | PTH1859 |
| License Number State | AL |
VIII. Authorized Official
Name: MR.
QUINN
MILLINGTON
Title or Position: OWNER
Credential: PT
Phone: 334-396-3273