Healthcare Provider Details

I. General information

NPI: 1982645396
Provider Name (Legal Business Name): EMERGENCY MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 DESALES AVE
CHATTANOOGA TN
37404-1161
US

IV. Provider business mailing address

PO BOX 1187
CHATTANOOGA TN
37401-1187
US

V. Phone/Fax

Practice location:
  • Phone: 423-629-9795
  • Fax: 423-629-9796
Mailing address:
  • Phone: 423-629-9795
  • Fax: 423-629-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LARRY STONE
Title or Position: PRESIDENT
Credential: MD
Phone: 423-629-9795