Foothills Emergency Services, LLC
Organization Active NPI Emergency Medicine Physician · Clayton, GA
NPI 1497913180 · NPPES record last updated Sep 3, 2008
Key facts
- NPI
- 1497913180
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- FOOTHILLS EMERGENCY SERVICES, LLC
- Practice address
- 196 Ridgecrest Cir
Clayton, GA 30525-4111 - Phone
- (706) 746-6571
- Fax
- (706) 746-5643
- NPI assigned
- May 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Charles R Pennington, M.D.
- Title
- Secretary
- Phone
- (706) 746-6571
Practitioners 2
-
Charles Royce Pennington, M.D.
-
David C Hon, MD
National Provider Directory
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
196 Ridgecrest Cir
Clayton, GA 30525-4111
Phone (706) 746-6571
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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 Sep 3, 2008. 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.