Basking Shark Emergency Physicians LLC
Organization Active NPI Emergency Medicine Physician · Dublin, GA
NPI 1497147441 · NPPES record last updated Feb 28, 2015
Key facts
- NPI
- 1497147441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BASKING SHARK EMERGENCY PHYSICIANS LLC
- Practice address
- 200 Industrial Blvd
Dublin, GA 31021-2981 - Phone
- (469) 401-2386
- NPI assigned
- Feb 28, 2015
- Organization subpart
- No
Authorized official
- Name
- Ross Ronan
- Title
- Vice President
- Phone
- (469) 401-2386
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
200 Industrial Blvd
Dublin, GA 31021-2981
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (469) 401-2386
Other providers in Dublin, GA
- Jon Willis Barden
- Anthony Edward Barnes
- Brianne Michala Barnette
- Susan Elizabeth Barr
- Kimberly A Barwick
- Bass Physical Therapy and Rehabilitation Center, Inc.
- Charles Edward Bass Jr.
- Ayn Vincent Dejesus Bayani
- Susan C Beacham
- Carl O Bedingfield
All providers in Dublin, 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 Feb 28, 2015. 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.