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Organization

JJ&R EMERGENCY GROUP OF TENNESSEE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY B. STAUM M.D. (PRESIDENT &CEO)
(310) 301-2030
Entity
Organization

Contact information

Practice address
401 TAKOMA AVE, EMERGENCY DEPARTMENT, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 636-2374
Mailing address
1700 EAST WALNUT AVENUE, #250, EL SAGUNDO, CA 90245-2605
(310) 301-2030
(310) 306-5247

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G28196
CA

Other

Enumeration date
05/12/2006
Last updated
11/12/2008
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