Organization
APP OF EAST TENNESSEE ED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRIMES (CFO)
(855) 246-8607
Entity
Organization
Contact information
Practice address
7565 DANNAHER DR, POWELL, TN 37849-4029
(615) 928-6268
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(615) 928-6268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/22/2019
Last updated
01/26/2023
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