Organization Name: | EMEDICALGROUP |
NPI Number: | 1912203712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA BERNARDO (LEAD DOCTOR) |
Mailing Address: | 299 Prairie St N Union Springs |
State: | AL US |
Postal Code: | 360891618 |
Phone Number: | 3347387337 |
Fax Number: | 3347387339 |
NPI Enumeration Date: | 01/27/2011 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 22602 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |