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NPI Code Detail

MEDICARE: TATTNALL EMERGENCY PHYSICIANS, LLC

MEDICARE: TATTNALL 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 : 1679520217
Entity Type Code : Organization
Provider Name (Legal Business Name) : TATTNALL EMERGENCY PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 861 SW 78TH AVE
Second Line : EMERGENCY DEPARTMENT
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 : 247 S MAIN ST
Second Line : EMERGENCY DEPARTMENT
City : REIDSVILLE
State : GA
Zip : 30453-4605
Country : US
Telephone Number : 912-557-1000
Fax Number : 912-557-4597
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. DAVID SCOTT SCHILLINGER
Credential : M.D.
Telephone Number : 800-815-8377
Provider Enumeration Date : 05/28/2006
Last Update Date : 08/22/2020

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Directions to “TATTNALL EMERGENCY PHYSICIANS, LLC ” Practice Location

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