Organization · NPI-2

Jj&R Emergency Group Of Tennessee, P.C.

Emergency Medicine · Greeneville, TN

NPI number1730130949
StatusActive
Last updated in NPPESNov 12, 2008

Details

NPI
1730130949
Entity type
Organization (NPI-2)
Legal business name
Jj&R Emergency Group Of Tennessee, P.C.
Organization subpart
No
Enumeration date
May 12, 2006
Last updated
Nov 12, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicineg28196CAYes

Practice location

401 Takoma Ave
Emergency Department
Greeneville, TN 37743-4647

Phone 423-639-3151 · Fax 423-636-2374

Mailing address

1700 East Walnut Avenue
#250
El Sagundo, CA 90245-2605

Phone 310-301-2030 · Fax 310-306-5247

Authorized official

Barry B. Staum
President &Ceo
3103012030

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Emergency Medicine providers in Greeneville, TN