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Organization
DYERSBURG HOSPITAL CORPORATION
Active
Organization
DYERSBURG HOSPITAL CORPORATION
Active
Other names
Dyersburg Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 288-3606
(731) 288-3626
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3250207
—
TN
Enumeration date
07/21/2006
Last updated
09/12/2008
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