Churchill Drive Emergency Physicians LLC

NPI #1932460607 in Sparta, Tennessee

Provider Information

NPI Number: 1932460607
Entity Type: Organization
Organization Name: Churchill Drive Emergency Physicians LLC
Primary Specialty: Emergency Medicine
Enumeration Date: May 30, 2012
Last Updated: Dec 24, 2013

Practice Location

Address: 401 SEWELL DR
City: Sparta
State: Tennessee
ZIP Code: 38583-1223
Phone: (931) 738-9211

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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