Organization
EMERGENCY PHYSICIANS AT SUMNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY LIFFERTH MD (PRESIDENT)
(615) 598-0681
Entity
Organization
Contact information
Practice address
555 HARTSVILLE PIKE, GALLATIN, TN 37066-2400
(615) 452-4210
Mailing address
PO BOX 8080, GALLATIN, TN 37066-8080
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731567
—
TN
01
—
4118003
BCBS
TN
05
—
4118003
—
TN
Enumeration date
01/18/2006
Last updated
12/05/2019
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