Organization
CANTON HOLLOW EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BYRNE (AUTHORIZED OFFICIAL)
(973) 251-1132
Entity
Organization
Contact information
Practice address
10820 PARKSIDE DR, KNOXVILLE, TN 37934
(973) 251-1132
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/02/2018
Last updated
12/09/2019
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