NPI | 1083948558 |
---|---|
Former Legal Business Name | PEGASUS EMERGENCY GROUP COOSA VALLEY LLC |
Entity Type | Organization |
Authorized Contact | NEIL E SCHAMBAN Md 256-737-2106 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Enumeration Date | 2009-09-30 |
Last Update Date | 2017-02-03 |