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NPI Code Detail

MEDICARE: MAURY EMERGENCY PHYSICIANS PLLC

MEDICARE: MAURY EMERGENCY PHYSICIANS PLLC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1952380610
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAURY EMERGENCY PHYSICIANS PLLC
Provider Business Mailing Address
First Line : PO BOX 3370
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-3370
Country : US
Telephone Number : 931-647-5034
Fax Number : 931-552-6663
Provider Business Practice Location Address
First Line : 1226 TROTWOOD AVE
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4802
Country : US
Telephone Number : 931-381-1111
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DAVID A DANIELS
Credential : MD
Telephone Number : 931-381-1111
Provider Enumeration Date : 01/11/2006
Last Update Date : 08/22/2020

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Directions to “MAURY EMERGENCY PHYSICIANS PLLC ” Practice Location

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