Healthcare Provider Details
I. General information
NPI: 1972551281
Provider Name (Legal Business Name): EMERGENCY MEDICAL ASSOCIATES OF GALAX, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 HOSPITAL DR
GALAX VA
24333-2227
US
IV. Provider business mailing address
PO BOX 60366
CHARLOTTE NC
28260-0366
US
V. Phone/Fax
- Phone: 276-236-8181
- Fax:
- Phone: 800-540-8739
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SCOTT
WRIGHT
Title or Position: GROUP HEAD
Credential: MD
Phone: 276-773-3750