Emory Medical Corporation
Emory Medical Corporation is an Obstetrics & Gynecology Physician in Lake City, Florida. Licensed in Virginia. Registered with an NPI since 2008.
- Licensed in
- VA
- In the registry since
- 2008
- Specialties on file
- 3
Practice location Address checks out
4812 W US Highway 90Lake City, FL 32055-5126
Phone: (386) 466-1106
Fax: (386) 466-1821
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Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X |
|---|---|
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence 0101243179 (VA) |
| General Practice Physician | Taxonomy 208D00000X · Licence 0101243179 (VA) |
Record details
| NPI number | 1598926263 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chandler Mohan — Managing Member · (386) 466-1106 |
| NPI enumerated | June 24, 2008 |
| Last updated in NPPES | March 4, 2020 |
| Certification date | March 4, 2020 |
| Mailing address | Po Box 1646, Lake City, FL 32056-1646 |
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