Organization
EMERGENCY MEDICAL CARE FACILITIES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD B HATCHER MD (MD/AUTHORIZED OFFICIAL)
(731) 541-5492
Entity
Organization
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-6574
(731) 541-6042
Mailing address
620 SKYLINE DRIVE, JACKSON, TN 38301-3923
(731) 541-6574
(731) 541-6042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD17640
TN
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD17640
LICENSE
TN
Enumeration date
01/16/2008
Last updated
03/23/2023
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