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NPI Code Detail

MEDICARE: NORTH ALABAMA EMERGENCY PHYSICIANS LLC

MEDICARE: NORTH ALABAMA EMERGENCY PHYSICIANS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255378246
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH ALABAMA EMERGENCY PHYSICIANS LLC
Provider Business Mailing Address
First Line : 5665 NEW NORTHSIDE DR NW
Second Line : SUITE 320
City : ATLANTA
State : GA
Zip : 30328-5831
Country : US
Telephone Number : 770-874-5400
Fax Number : 770-874-5483
Provider Business Practice Location Address
First Line : 1300 S MONTGOMERY AVE
Second Line :
City : SHEFFIELD
State : AL
Zip : 35660-6334
Country : US
Telephone Number : 770-874-5439
Fax Number : 770-874-5483
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : ROGER PAUL MURRAY
Credential :
Telephone Number : 770-874-5400
Provider Enumeration Date : 05/31/2006
Last Update Date : 11/29/2011

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Practice Location Address:
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Practice Phone: 256-386-4011
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1790752285 — TIMOTHY I MELSON MD
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1770550261 — MICHAEL L GOSNEY MD
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Practice Fax:
1194792697 — JAMES N JETER JR. MD
Practice Location Address:
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SHEFFIELD, AL
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Practice Fax:
1174584999 — ANESTHESIA MEDICAL CONSULTANTS
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Practice Location Address:
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Directions to “NORTH ALABAMA EMERGENCY PHYSICIANS LLC ” Practice Location

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