Individual
MR. PRESTON PARKER EMBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
270 E COURT AVE, SELMER, TN 38375-2304
(731) 541-9490
Mailing address
257 BANCORP SOUTH PKWY # TN38305, JACKSON, TN 38305-7582
(731) 660-8759
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1768
TN
363AS0400X
Surgical Physician Assistant
1768
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516451
—
TN
01
—
4245228
BCBS PA
TN
01
—
4245266
BCBS PA SURGERY
TN
Enumeration date
08/31/2009
Last updated
07/09/2025
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