Provider Demographics
NPI:1053733659
Name:EMERGE BIRTH SERVICES, LLC
Entity type:Organization
Organization Name:EMERGE BIRTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SNOW
Authorized Official - Last Name:ROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-822-3885
Mailing Address - Street 1:1970 KRAMER WAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-5436
Mailing Address - Country:US
Mailing Address - Phone:404-822-3885
Mailing Address - Fax:636-212-9909
Practice Address - Street 1:1970 KRAMER WAY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-5436
Practice Address - Country:US
Practice Address - Phone:404-822-3885
Practice Address - Fax:636-212-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty