Organization
MCMINNVILLE EMERGENCY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J DRESNICK MD (CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
1559 SPARTA ST, MC MINNVILLE, TN 37110-1316
(931) 815-4205
(904) 805-1302
Mailing address
PO BOX 532738, ATLANTA, GA 30353-2738
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3727294
—
TN
Enumeration date
09/14/2007
Last updated
09/14/2007
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