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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ER PHYSICIAN GROUP AT JACKSON HOSPITAL

Active Organization

ER PHYSICIAN GROUP AT JACKSON HOSPITAL is a Specialist organization located in MARIANNA, Florida. NPI 1407895584 is currently active in the NPPES registry. Verify at CMS.

Specialist · MARIANNA, FL

Registration Details

NPI Number
1407895584
Provider Type
Organization
NPI Issued
Jun 5, 2006 (20.184987456175 yrs)
Last Updated
Jul 3, 2008
License
ME78684 AND ME93313 (FL)

Practice Information

Address
4298 5TH AVE
MARIANNA, FL, 324462173
Browse FL providers · Browse ZIP 32446
Phone
8504825787
Fax
8504828108
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.