Chickasawhay Emergency Physicians LLC

Organization Active NPI Emergency Medicine Physician · Quitman, MS

NPI 1508048489 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1508048489
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
CHICKASAWHAY EMERGENCY PHYSICIANS LLC
Practice address
605 S Archusa Ave
Quitman, MS 39355-2331
Phone
(601) 776-6925
Fax
(601) 776-7141
NPI assigned
Dec 3, 2007
Organization subpart
No

Authorized official

Name
Kathleen Kondas
Title
Officer
Phone
(954) 838-2371

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

605 S Archusa Ave
Quitman, MS 39355-2331

Mailing address

13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (954) 838-2371

Other providers in Quitman, MS

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

Sources for this page

Verify at the official NPI Registry.