Capital Emergency Physicians Madison PLLC

Organization Active NPI Emergency Medicine Physician · Canton, MS

NPI 1194176644 · NPPES record last updated Sep 26, 2019

Key facts

NPI
1194176644
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
CAPITAL EMERGENCY PHYSICIANS MADISON PLLC
Practice address
161 River Oaks Dr
Canton, MS 39046-5375
Phone
(866) 855-4000
NPI assigned
Jun 27, 2016
Organization subpart
No

Authorized official

Name
Chad Somerby
Title
VP Operations
Phone
(629) 203-7320

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

161 River Oaks Dr
Canton, MS 39046-5375

Mailing address

PO Box 96395
Oklahoma City, OK 73143-6395
Phone (629) 203-7320

Other providers in Canton, MS

All providers in Canton, MS · Emergency Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.