Provider Demographics
NPI:1174700553
Name:E MEDICAL STAFFING
Entity type:Organization
Organization Name:E MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-393-5351
Mailing Address - Street 1:12218 COLDSTREAM CT
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-1570
Mailing Address - Country:US
Mailing Address - Phone:404-393-5351
Mailing Address - Fax:678-479-9699
Practice Address - Street 1:12218 COLDSTREAM CT
Practice Address - Street 2:1ST FLOOR
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-1570
Practice Address - Country:US
Practice Address - Phone:404-393-5351
Practice Address - Fax:678-479-9699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL07000024606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty