Red Spruce Emergency Physicians, Pplc

NPI #1013380500 in Jasper, Tennessee

Provider Information

NPI Number: 1013380500
Entity Type: Organization
Organization Name: Red Spruce Emergency Physicians, Pplc
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 5, 2015
Last Updated: Nov 5, 2015

Practice Location

Address: 1000 HIGHWAY 28
City: Jasper
State: Tennessee
ZIP Code: 37347-3638
Phone: (469) 401-2386

Authorized Official

Name: TERRY MEADOWS, M.D.
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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