Grackle Emergency Physicians, LLC

NPI #1023434057 in Clarksville, Tennessee

Provider Information

NPI Number: 1023434057
Entity Type: Organization
Organization Name: Grackle Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 14, 2014
Last Updated: Mar 14, 2014

Practice Location

Address: 651 DUNLOP LN
City: Clarksville
State: Tennessee
ZIP Code: 37040-5015
Phone: (931) 502-1000

Authorized Official

Name: ROSS RONAN
Title: VICE PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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