Healthcare Provider Details

I. General information

NPI: 1457381857
Provider Name (Legal Business Name): EMERGENCY MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 HAMILL RD
HIXSON TN
37343-4026
US

IV. Provider business mailing address

PO BOX 1187
CHATTANOOGA TN
37401-1187
US

V. Phone/Fax

Practice location:
  • Phone: 423-692-9795
  • Fax:
Mailing address:
  • Phone: 757-221-7111
  • Fax: 757-221-8085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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