Organization
ECC WEST TENNESSEE MC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R STALEY JR. MD (PRESIDENT)
(888) 203-1274
Entity
Organization
Contact information
Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(888) 203-1274
Mailing address
1900 N WINSTON RD, SUITE 300, KNOXVILLE, TN 37919-3606
(888) 203-1274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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