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NPI Code Detail

MEDICARE: GEORGIA EM-I MEDICAL SERVICES, PC

MEDICARE: GEORGIA EM-I MEDICAL SERVICES, PC
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

General Provider Information

NPI Number : 1356399679
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA EM-I MEDICAL SERVICES, PC
Provider Business Mailing Address
First Line : PO BOX 8750
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-8750
Country : US
Telephone Number : 800-507-8874
Fax Number : 727-507-3618
Provider Business Practice Location Address
First Line : 3949 S COBB DR SE
Second Line :
City : SMYRNA
State : GA
Zip : 30080-6342
Country : US
Telephone Number : 770-438-5222
Fax Number : 770-434-5123
Authorized Official
Title or Position : PRESIDENT
Name : DR. GREGORY BYRNE
Credential : M.D.
Telephone Number : 214-712-2000
Provider Enumeration Date : 05/05/2006
Last Update Date : 03/24/2008

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Directions to “GEORGIA EM-I MEDICAL SERVICES, PC ” Practice Location

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