Organization
EMERGENCY SERVICES OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R STALEY JR. MD (PRESIDENT)
(888) 203-1274
Entity
Organization
Contact information
Practice address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4049
(888) 203-1274
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4049
(888) 203-1274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
TN
207Q00000X
Family Medicine Physician
—
TN
207R00000X
Internal Medicine Physician
—
TN
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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