| NPI | 1710780234 |
|---|---|
| Doing Business As | THIRD RIVER HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHNNY MYERS Authorized Official 678-642-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-07-09 |