Forked Deer River Inpatient Services, Pllc

NPI 1750717195 - Internal Medicine - 207R00000X

NPI Details
NPI 1750717195
Enumeration Date 09/17/2013
Last Updated 09/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GREGORY J GREGORY
Position PRESIDENT, INPATIENT SERVICES OF TN
Phone (731) 285-2410
Fax (800) 305-3233
Practice Location
400 E TICKLE ST
DYERSBURG TN, 38024-3120, US
Phone (731) 285-2410
Fax (800) 305-3233
Business Location
815 S PALAFOX ST
3RD FLOOR
PENSACOLA FL, 32502-5960, US
Phone (800) 444-7009
Fax (800) 305-3233
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1750717195 NPI Number
 

According to our database, Forked Deer River Inpatient Services, Pllc NPI is 1750717195, taxonomy code is 207R00000X Forked Deer River Inpatient Services, Pllc physically located at 400 E Tickle St, Dyersburg TN, 38024-3120. NPI Number 1033115704 has the healthcare provider type.

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1750717195 NPI number is provided on an as is basis without warranty of any kind. 1750717195 is maintained by the National Plan & Provider Enumeration System. The contents of Forked Deer River Inpatient Services, Pllc are for informational purposes only.