Healthcare Provider Details

I. General information

NPI: 1982650909
Provider Name (Legal Business Name): EMERGENCY PHYSICIANS OF NASHVILLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3441 DICKERSON PIKE
NASHVILLE TN
37207-2539
US

IV. Provider business mailing address

2020 21ST AVE S SUITE 201
NASHVILLE TN
37212-4354
US

V. Phone/Fax

Practice location:
  • Phone: 615-769-4401
  • Fax:
Mailing address:
  • Phone: 615-269-0652
  • Fax: 615-269-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HAROLD W DUKE
Title or Position: OWNER
Credential: MD
Phone: 615-269-0652