Red Spruce Emergency Physicians, Pllc

NPI #1962860064 in Portland, Tennessee

Provider Information

NPI Number: 1962860064
Entity Type: Organization
Organization Name: Red Spruce Emergency Physicians, Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Feb 3, 2016
Last Updated: Feb 3, 2016

Practice Location

Address: 105 REDBUD DR
City: Portland
State: Tennessee
ZIP Code: 37148-1673
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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