Red Spruce Emergency Physicians, PLLC
Organization Active NPI Emergency Medicine Physician · Portland, TN
NPI 1962860064 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1962860064
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- RED SPRUCE EMERGENCY PHYSICIANS, PLLC
- Practice address
- 105 Redbud Dr
Portland, TN 37148-1673 - Phone
- (469) 401-2386
- NPI assigned
- Feb 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Terry Meadows, M.D.
- Title
- Officer
- Phone
- (469) 401-2386
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Red Spruce Emergency Physicians LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
105 Redbud Dr
Portland, TN 37148-1673
Mailing address
PO Box 80103
Philadelphia, PA 19101-1103
Other providers in Portland, TN
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All providers in Portland, 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 Feb 3, 2016. 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.