Organization Name: | CLANTON EMERGENCY GROUP LLC |
NPI Number: | 1053637256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM C SCHUMACHER (CEO) |
Mailing Address: | 1010 Lay Dam Rd Clanton |
State: | AL US |
Postal Code: | 350452306 |
Phone Number: | 2057552500 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 04/13/2010 |
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: |