| Steven R Taraszka Pc | |
|
924 West Spring St Monroe GA 30655 | |
| (770) 267-4455 | |
| (770) 267-7495 |
| Full Name | Steven R Taraszka Pc |
|---|---|
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 924 West Spring St, Monroe, Georgia |
| Authorized Official Name and Position | Steven Robert Taraszka (PRESIDENT) |
| Authorized Official Contact | 7702674455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R Taraszka Pc 924 West Spring St Monroe GA 30655 Ph: (770) 267-4455 | Steven R Taraszka Pc 924 West Spring St Monroe GA 30655 Ph: (770) 267-4455 |
| NPI Number | 1629251822 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629251822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 208VP0014X (* (Not Available)) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 2081P2900X (* (Not Available)) | Primary |
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