Organization
SHILOH EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS RONAN (VICE PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
161 HOSPITAL DR, MC KENZIE, TN 38201-1636
(731) 352-5344
Mailing address
815 S PALAFOX ST, STE 300, PENSACOLA, FL 32502-5937
(800) 444-7009
(800) 305-3233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731677
—
TN
Enumeration date
05/09/2006
Last updated
12/24/2013
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