Organization · Type 2 NPI
Dodge Emergency Group LLC
Nurse Practitioner · Eastman, GA
Practice location
715 Griffin Ave
Eastman, GA 31023-6716
Mailing address
200 Corporate Blvd, Suite 201
Lafayette, LA 70508-3870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1164481065
Dodge Emergency Group LLC's National Provider Identifier is 1164481065, issued on Mar 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eastman, GA. The record was last updated on Sep 11, 2025.