Georgia Em-I Medical Service PC

Organization Active NPI Emergency Medicine Physician · Cochran, GA

NPI 1669909008 · NPPES record last updated May 16, 2017

Key facts

NPI
1669909008
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
GEORGIA EM-I MEDICAL SERVICE PC
Practice address
145 E Peacock St
Cochran, GA 31014-7846
Phone
(469) 401-2386
NPI assigned
May 16, 2017
Organization subpart
No

Authorized official

Name
Gregory J Byrne, MD
Title
Officer
Phone
(469) 401-2386

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Georgia Em-I Medical Service PC (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

145 E Peacock St
Cochran, GA 31014-7846

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (469) 401-2386

Other providers in Cochran, GA

All providers in Cochran, GA · Emergency Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.