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NPI Code Detail

MEDICARE: SRMC HEALTHCARE GROUP LLC

MEDICARE: SRMC HEALTHCARE GROUP LLC
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
1207KA0200XAllergy Physician
2207P00000XEmergency Medicine Physician
3207ZP0105XClinical Pathology/Laboratory Medicine Physician

General Provider Information

NPI Number : 1861424525
Entity Type Code : Organization
Provider Name (Legal Business Name) : SRMC HEALTHCARE GROUP LLC
Provider Business Mailing Address
First Line : 103 CONTINENTAL PL
Second Line : SUITE 200
City : BRENTWOOD
State : TN
Zip : 37027-1041
Country : US
Telephone Number : 615-844-9800
Fax Number : 615-844-9883
Provider Business Practice Location Address
First Line : 350 BONAR AVE
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-1608
Country : US
Telephone Number : 724-627-2645
Fax Number : 724-627-2697
Authorized Official
Title or Position : VICE PRESIDENT
Name : STEPHEN L. PAGE
Credential :
Telephone Number : 615-844-9849
Provider Enumeration Date : 07/06/2006
Last Update Date : 09/10/2014

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Directions to “SRMC HEALTHCARE GROUP LLC ” Practice Location

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