Old Hickory Emergency Physicians
NPI #1679771240 in Madison, Tennessee
Provider Information
- NPI Number
- 1679771240
- Entity Type
- Organization
- Organization Name
- Old Hickory Emergency Physicians
- Primary Specialty
- Emergency Medicine - Emergency Medical Services
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- JENNIFER PROVASNIK
- Title
- SUPERVISOR OF PROVIDER ENROLLMENT
- Phone
- (800) 355-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine - Emergency Medical Services — Emergency Medical Services |
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