MEDICARE: E & M ASSOCIATES 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
1	363AS0400X	Surgical Physician Assistant	149391	GA

General Provider Information

NPI Number	:	1649789132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & M ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	5205 FREDERICK ST STE A
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-4520
Country	:	US
Telephone Number	:	912-303-6678
Fax Number	:	912-355-3066

Provider Business Practice Location Address
First Line	:	5205 FREDERICK ST STE A
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-4520
Country	:	US
Telephone Number	:	912-303-6678
Fax Number	:	912-303-6678

Authorized Official
Title or Position	:	FINANCIAL MANAGER
Name	:	MRS. KAREN C CHUMLEY
Credential	:
Telephone Number	:	912-303-6678

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	09/27/2017

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