McMinnville Emergency Services LLC
Organization Active NPI Emergency Medicine Physician · MC Minnville, TN
NPI 1689860413 · NPPES record last updated Sep 14, 2007
Key facts
- NPI
- 1689860413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MCMINNVILLE EMERGENCY SERVICES LLC
- Practice address
- 1559 Sparta St
MC Minnville, TN 37110-1316 - Phone
- (931) 815-4205
- Fax
- (904) 805-1302
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Stephen J Dresnick, MD
- Title
- Ceo
- Phone
- (904) 805-1300
Practitioners 20
-
David Bridges, MD
-
Beatrice B Edmundson, CFNP
-
Joe Fite, M.D.
-
Tonya Gager, FNP
-
Dannie W Glover, MD
-
Sherry Kinkade, FNP
-
William Leon, MD
-
James Phillip Parker, M.D.
-
Frank Anthony Perry, M.D.
-
Herbert X Smith, MD
-
Robert D Turner, M.D.
-
Daniela Vavra, NP
-
Blal A Zafar, MD
-
Laura Hart, ARNP
-
Henry Lee McKay, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
1559 Sparta St
MC Minnville, TN 37110-1316
Mailing address
PO Box 532738
Atlanta, GA 30353-2738
Phone (904) 805-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3727294 | Medicaid | TN |
Other providers in MC Minnville, TN
- Lopasteeda Derosa Stephens
- Charles Wallace Marsh III
- Murphy Colson Martin
- Stanley R Martin
- Mary Jane Jamieson
- McMinnville Medical Associates PLLC
- McMinnville Medical Care Center LLC
- McMinnville Residential, LLC
- McMinnville Warren County Senior Center, Inc.
- Mid-South Respicare,Inc.
All providers in MC Minnville, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.