Organization Name: | GEORGE REGIONAL ER PHYSICIANS |
NPI Number: | 1043690936 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY FENDER (ADMINISTRATOR) |
Mailing Address: | 859 Winter St Lucedale |
State: | MS US |
Postal Code: | 394526603 |
Phone Number: | 6019473161 |
Fax Number: | 6019471331 |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |