Organization
UNIVERSITY EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE DISMUKES (PRACTICE ADMIN)
(615) 444-2320
Entity
Organization
Contact information
Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-2320
(615) 449-3163
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(615) 444-2320
(615) 449-3163
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3843126
—
TN
Enumeration date
08/17/2006
Last updated
08/22/2020
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