Cormorant Emergency Physicians LLC
Organization Active NPI Emergency Medicine Physician · Selmer, TN
NPI 1770909285 · NPPES record last updated Mar 7, 2014
Key facts
- NPI
- 1770909285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CORMORANT EMERGENCY PHYSICIANS LLC
- Practice address
- 705 E Poplar Ave
Selmer, TN 38375-1828 - Phone
- (731) 645-3221
- NPI assigned
- Mar 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Ross Ronan
- Title
- Vice President
- Phone
- (469) 401-2386
National Provider Directory
Locations
705 E Poplar Ave
Selmer, TN 38375
Phone (731) 645-3221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
705 E Poplar Ave
Selmer, TN 38375-1828
Mailing address
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
Other providers in Selmer, TN
- Ellen Elizabeth Cole-Wesson
- Jason Samuel Collier
- Shelby Coln
- Lashon Conner
- Emily King Cooper
- Carie Allison Cox
- Chrystal Croom
- Deberry Drugs Inc.
- Sara Coleman Depew
- Haylie Deshazier
All providers in Selmer, 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 Mar 7, 2014. 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.