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NPI Code Detail

MEDICARE: CYRUS EMERGENCY PHYSICIANS, LLC

MEDICARE: CYRUS 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
1DC5996OTHERGARR MCARE GRP#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568412294
Entity Type Code : Organization
Provider Name (Legal Business Name) : CYRUS EMERGENCY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : PO BOX 933049
Second Line :
City : ATLANTA
State : GA
Zip : 31193-3049
Country : US
Telephone Number : 866-313-5266
Fax Number : 205-313-5245
Provider Business Practice Location Address
First Line : 2260 WRIGHTSBORO RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30904-4764
Country : US
Telephone Number : 866-313-5266
Fax Number : 205-313-5245
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : GERALDINE O'MEARA
Credential : M.D.
Telephone Number : 706-481-7483
Provider Enumeration Date : 05/11/2006
Last Update Date : 08/22/2020

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Directions to “CYRUS EMERGENCY PHYSICIANS, LLC ” Practice Location

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