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NPI Code Detail

MEDICARE: PAUL T. EMERY M.D.

MEDICARE: PAUL T. EMERY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician6387NV

General Provider Information

NPI Number : 1194798215
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL T. EMERY M.D.
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD SUITE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 615-315-5257
Fax Number : 615-692-0547
Provider Business Practice Location Address
First Line : 4015 S BUFFALO DR STE 1
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147
Country : US
Telephone Number : 725-293-4602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 06/26/2023

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