Decatur Emergency Physicians LLC

Organization Active NPI Emergency Medicine Physician · Bainbridge, GA

NPI 1992224265 · NPPES record last updated Aug 21, 2019

Key facts

NPI
1992224265
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
DECATUR EMERGENCY PHYSICIANS LLC
Practice address
1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone
(469) 401-2386
NPI assigned
Sep 18, 2017
Organization subpart
No

Authorized official

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

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

1500 E Shotwell St
Bainbridge, GA 39819-4256

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (954) 838-2371

Other providers in Bainbridge, GA

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

Sources for this page

Verify at the official NPI Registry.