Southeastern Emergency Services Of Memphis, P.c.

NPI 1164454450 - Physician Assistant - 363A00000X

NPI Details
NPI 1164454450
Enumeration Date 07/07/2006
Last Updated 12/15/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDAL L RANDAL
Position PRESIDENT
Phone (865) 985-7047
Fax
Practice Location
910 BLACKFORD ST
CHATTANOOGA TN, 37403-1405, US
Phone (865) 985-7047
Fax
Business Location
P O BOX 634811
CINCINNATI OH, 45263-4811, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Southeastern Emergency Services Of Memphis, P.c. NPI is 1164454450, taxonomy code is 363A00000X Southeastern Emergency Services Of Memphis, P.c. physically located at 910 Blackford St, Chattanooga TN, 37403-1405. NPI Number 1033115704 has the healthcare provider type.

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1164454450 NPI number is provided on an as is basis without warranty of any kind. 1164454450 is maintained by the National Plan & Provider Enumeration System. The contents of Southeastern Emergency Services Of Memphis, P.c. are for informational purposes only.