Healthcare Provider Details

I. General information

NPI: 1447784988
Provider Name (Legal Business Name): SOUND PHYSICIANS EMERGENCY MEDICINE OF GEORGIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 S MERIDIAN AVE
OKLAHOMA CITY OK
73119-1026
US

IV. Provider business mailing address

3303 S MERIDIAN AVE
OKLAHOMA CITY OK
73119-1026
US

V. Phone/Fax

Practice location:
  • Phone: 800-962-3303
  • Fax:
Mailing address:
  • Phone: 800-962-3303
  • Fax:

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: STEVEN M MCCARTY
Title or Position: GENERAL COUNSEL & SECRETARY
Credential:
Phone: 855-768-6363