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NPI Code Detail

MEDICARE: CLANTON EMERGENCY PHYSICIANS, LLC

MEDICARE: CLANTON 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

General Provider Information

NPI Number : 1669428090
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLANTON EMERGENCY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 861 SW 78TH AVE
Second Line : SUITE #100B
City : PLANTATION
State : FL
Zip : 33324-3229
Country : US
Telephone Number : 954-693-0000
Fax Number : 954-693-0005
Provider Business Practice Location Address
First Line : 1010 LAY DAM RD
Second Line : EMERGENCY DEPARTMENT
City : CLANTON
State : AL
Zip : 35045-2306
Country : US
Telephone Number : 205-755-2500
Fax Number : 205-280-3567
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. DAVID SCOTT SCHILLINGER
Credential : M.D.
Telephone Number : 800-815-8377
Provider Enumeration Date : 05/26/2006
Last Update Date : 12/04/2007

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35045-2306
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1760421671 — DR. WAYNE BERNARD BAREFIELD D.O.
Practice Location Address:
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35045-2306
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1407890072 — DR. WILLIAM SAMUEL HERRING M.D.
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1326074873 — DR. WADE B. NAVEN M.D.
Practice Location Address:
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Directions to “CLANTON EMERGENCY PHYSICIANS, LLC ” Practice Location

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