Medical Director Support Download. Medical director information _____ _____ medical director name georgia medical board license number _____ ems agency name (where the physician is a medical director) agreement i am a physician licensed to practice medicine in georgia and have agreed to support the application for ems instructor level i licensure for the applicant listed on this. The specific role and responsibilities of an emergency department (ed) medical director vary based on the size, characteristics, and leadership structure of the department.
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