Ermds LLC
Organization Active NPI Emergency Medicine Physician · Clayton, GA
NPI 1306107149 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1306107149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ERMDS LLC
- Practice address
- 196 Ridgecrest Cir
Clayton, GA 30525-4111 - Phone
- (334) 386-0378
- NPI assigned
- Jun 7, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- ERMDS LLC
Authorized official
- Name
- Vicki F Lawrenson
- Title
- Coo
- Phone
- (334) 386-0343
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Ermds LLC
- Part of
- Ermds LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
196 Ridgecrest Cir
Clayton, GA 30525-4111
Mailing address
PO Box 5013
Montgomery, AL 36103-5013
Phone (334) 386-0343
Other names
- ERMDS @ Mountain Lakes Medical Center
Other providers in Clayton, GA
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All providers in Clayton, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.