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General NPI Number Information
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NPI Number | 1588892152
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Entity Type | Organization
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Legal Business Name | ER MANAGEMENT COMPANY, LLC
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 509 SUMTER ST
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City | MONTEZUMA
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State | GA
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Zip | 31063-1733
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Country | US
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Telephone | 478-472-3270
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Fax | 478-472-8624
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Provider Business Mailing Address
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Address Line | 1400 BUFORD HWY SUITE R-3
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City | BUFORD
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State | GA
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Zip | 30518-8721
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Country | US
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Telephone | 478-472-3246
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Fax | 478-472-8624
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Authorized Official
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Title or Position | CEO
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Name | MRS. LAURIE A. HAIR
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Credential |
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Telephone | 478-472-3270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 953982755
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License Number State | GA
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