MEDICARE: SR MEDICAL SERVICES

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1831322973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SR MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	2497 S ROANE ST STE 110
Second Line	:
City	:	HARRIMAN
State	:	TN
Zip	:	37748-8666
Country	:	US
Telephone Number	:	865-599-0300
Fax Number	:	865-321-8887

Provider Business Practice Location Address
First Line	:	2497 S ROANE ST STE 110
Second Line	:
City	:	HARRIMAN
State	:	TN
Zip	:	37748-8666
Country	:	US
Telephone Number	:	865-599-0300
Fax Number	:	865-321-8887

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SUSAN R REYES
Credential	:	MD
Telephone Number	:	865-567-8847

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	10/24/2022

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Directions to “SR MEDICAL SERVICES ” Practice Location

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