Healthcare Provider Details

I. General information

NPI: 1568412294
Provider Name (Legal Business Name): CYRUS EMERGENCY PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 WRIGHTSBORO RD
AUGUSTA GA
30904-4764
US

IV. Provider business mailing address

PO BOX 933049
ATLANTA GA
31193-3049
US

V. Phone/Fax

Practice location:
  • Phone: 866-313-5266
  • Fax: 205-313-5245
Mailing address:
  • Phone: 866-313-5266
  • Fax: 205-313-5245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GERALDINE O'MEARA
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 706-481-7483