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Organization

CALEB CREEK EMERGENCY PHYSICIANS, PLLC

Active
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Organization

CALEB CREEK EMERGENCY PHYSICIANS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK E GREEN MD (MEDICAL DIRECTOR)
(931) 249-0655
Entity
Organization

Contact information

Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(615) 384-2411
Mailing address
PO BOX 30729, CLARKSVILLE, TN 37040-0013

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—

Other

Enumeration date
10/13/2010
Last updated
10/13/2010
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