Botanical Emergency Physicians, LLC

Organization Active NPI Emergency Medicine Physician · Lafayette, TN

NPI 1811360522 · NPPES record last updated Nov 17, 2015

Key facts

NPI
1811360522
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
BOTANICAL EMERGENCY PHYSICIANS, LLC
Practice address
204 Medical Dr
Lafayette, TN 37083-1719
Phone
(469) 401-2386
NPI assigned
Nov 3, 2015
Organization subpart
No

Authorized official

Name
Tenna Behm
Title
Officer
Phone
(469) 401-2386

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Botanical Emergency Physicians LLC (9 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

204 Medical Dr
Lafayette, TN 37083-1719

Mailing address

PO Box 80106
Philadelphia, PA 19101-0106
Phone (469) 401-2386

Other providers in Lafayette, TN

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

Sources for this page

Verify at the official NPI Registry.