| Organization Name: | BLECKLEY EMERGENCY GROUP LLC |
| NPI Number: | 1083928733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM C SCHUMACHER (CEO) |
| Mailing Address: | 408 Peacock St Cochran |
| State: | GA US |
| Postal Code: | 310149427 |
| Phone Number: | 4789346214 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2010 |
| NPI Last Update Date: | 08/04/2010 |
| 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: | |