Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 51561 | SC |
N | 207P00000X | Emergency Physician | ME0096634 | FL |
NPI | 1003916156 |
---|---|
Provider Name | Erik Myhrer |
First Address | Atlanta, GA 31193-5722 |
Second Address | Columbia, SC 29204-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 06/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
276620500 | (05) | FL |
57031 | BCBS (01) | FL |
P00373985 | RAILROAD MEDICARE (01) | FL |