Organization · NPI-2

Greeneville Emergency Physicians Medical Group PC

Emergency Medicine · Greeneville, TN

NPI number1740585223
StatusActive
Last updated in NPPESJul 5, 2014

Details

NPI
1740585223
Entity type
Organization (NPI-2)
Legal business name
Greeneville Emergency Physicians Medical Group PC
Organization subpart
No
Enumeration date
Jan 14, 2011
Last updated
Jul 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

401 Takoma Ave
Greeneville, TN 37743-4647

Phone 423-636-2360

Mailing address

Po Box 1908
Arcadia, CA 91077-1908

Phone 626-447-0296 · Fax 626-447-6057

Authorized official

Steven P. Maron
President
6264470296

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