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NPI Code Detail

MEDICARE: DR. DAVID S EMERSON M.D.

MEDICARE: DR. DAVID S EMERSON M.D.
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
1207Q00000XFamily Medicine Physician20049AL

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 : 1598760191
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID S EMERSON M.D.
Provider Business Mailing Address
First Line : 3371 MARINER CIR
Second Line :
City : ORANGE BEACH
State : AL
Zip : 36561-4487
Country : US
Telephone Number : 256-225-4912
Fax Number :
Provider Business Practice Location Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-912-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 08/19/2024

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