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NPI Code Detail

MEDICARE: EMERGENCY PHYSICIANS OF NASHVILLE, PLLC

MEDICARE: EMERGENCY PHYSICIANS OF NASHVILLE, 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
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982650909
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENCY PHYSICIANS OF NASHVILLE, PLLC
Provider Business Mailing Address
First Line : 2020 21ST AVE S
Second Line : SUITE 201
City : NASHVILLE
State : TN
Zip : 37212-4354
Country : US
Telephone Number : 615-269-0652
Fax Number : 615-269-0135
Provider Business Practice Location Address
First Line : 3441 DICKERSON PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2539
Country : US
Telephone Number : 615-769-4401
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HAROLD W DUKE
Credential : MD
Telephone Number : 615-269-0652
Provider Enumeration Date : 05/25/2006
Last Update Date : 08/14/2008

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