Red Spruce Emergency Physicians, LLC

Organization Active NPI Emergency Medicine Physician · Dickson, TN

NPI 1114390002 · NPPES record last updated Nov 17, 2015

Key facts

NPI
1114390002
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
RED SPRUCE EMERGENCY PHYSICIANS, LLC
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(469) 401-2386
NPI assigned
Nov 2, 2015
Organization subpart
No

Authorized official

Name
Terry Meadows
Title
Officer
Phone
(469) 401-2386

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Red Spruce Emergency Physicians LLC (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

PO Box 80103
Philadelphia, PA 19101-0103
Phone (469) 401-2386

Other providers in Dickson, TN

All providers in Dickson, TN · Emergency Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.