MEDICARE: SOUND PHYSICIANS EMERGENCY MEDICINE OF GEORGIA 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
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1447784988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND PHYSICIANS EMERGENCY MEDICINE OF GEORGIA PC

Provider Business Mailing Address
First Line	:	3303 S MERIDIAN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-1026
Country	:	US
Telephone Number	:	800-962-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 S MERIDIAN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73119-1026
Country	:	US
Telephone Number	:	800-962-3303
Fax Number	:

Authorized Official
Title or Position	:	GENERAL COUNSEL & SECRETARY
Name	:	STEVEN M MCCARTY
Credential	:
Telephone Number	:	855-768-6363

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	04/11/2017

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