Gordonia Emergency Physicians
Organization Active NPI Emergency Medicine Physician · Reidsville, GA
NPI 1497953822 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497953822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- GORDONIA EMERGENCY PHYSICIANS
- Practice address
- 247 S Main St
Reidsville, GA 30453-4605 - Phone
- (912) 557-1000
- NPI assigned
- Jul 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Provasnik
- Title
- Supervisor of Provider Enrollment
- Phone
- (800) 355-0808
Practitioners 13
-
Michael Austin, M.D.
-
Thomas J Ferrari, MD
-
Eric G. Fogam, MD
-
Tonya Fowler Fordham, D.O.
-
Bruce M Gioia, MD
-
Bernard F Oddi, MD
-
Sang Wan Oh, MD
-
Daryl Sherrod, M.D.
-
Odell P. Still, DO
-
Benson Wayne Tapley, D.O.
-
Sang Wha Lee, MD
-
Mark Perni, DO
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
247 S Main St
Reidsville, GA 30453-4605
Mailing address
PO Box 41631
Philadelphia, PA 19101-1631
Phone (800) 355-0808
Other providers in Reidsville, GA
- Elite Care DME,LLC
- Fortner Medical Clinic, LLC
- Gregory Lamar Fortner
- Clayborne Fulchi
- Georgia State Prison Regional Pharmacy
- Adriana Griffin
- Chastity Hinson
- David Andrew Hooper
- Haley Coulter Howard
- Catherine S Howington
All providers in Reidsville, 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 Aug 22, 2020. 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.