Organization
TUNKHANNOCK HOSPITAL PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
880 SR 6 W, TUNKHANNOCK, PA 18657-6149
(570) 996-1467
(570) 836-2339
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(877) 309-5312
(615) 465-2877
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102584117 0001
—
PA
Enumeration date
03/30/2011
Last updated
08/16/2011
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