Healthcare Provider Details

I. General information

NPI: 1073884664
Provider Name (Legal Business Name): TENNESSEE EM-I MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 WALLACE RD
NASHVILLE TN
37211-4851
US

IV. Provider business mailing address

PO BOX 37821
PHILADELPHIA PA
19101-0121
US

V. Phone/Fax

Practice location:
  • Phone: 615-781-4000
  • Fax:
Mailing address:
  • Phone: 800-507-8874
  • Fax: 727-536-2896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY J BYRNE
Title or Position: PRESIDENT
Credential: MD
Phone: 800-507-8874