| Organization Name: | BEN HILL EMERGENCY GROUP LLC |
| NPI Number: | 1043328156 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISHA C FALK (VP OF CONTRACTING) |
| Mailing Address: | 200 Perry House Rd Fitzgerald |
| State: | GA US |
| Postal Code: | 317508857 |
| Phone Number: | 8008939698 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |