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Organization
ELITE EMERGENCY RUSSELLVILLE PLLC
Active
Organization
ELITE EMERGENCY RUSSELLVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD SOMERBY (VP OPERATIONS)
(615) 928-6275
Entity
Organization
Contact information
Practice address
12 CADILLAC DR, SUITE 150, BRENTWOOD, TN 37027-5272
(615) 928-6275
(615) 760-5985
Mailing address
12 CADILLAC DR, SUITE 150, BRENTWOOD, TN 37027-5272
(615) 928-6275
(615) 760-5985
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/10/2015
Last updated
04/03/2018
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