Organization
DYERSBURG HOSPITAL CORPORATION
Active
Other names
Dyersburg Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 288-3606
(731) 288-3626
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3250207
—
TN
Enumeration date
07/21/2006
Last updated
09/12/2008
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