Organization
CALEB CREEK EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E GREEN MD (MEDICAL DIRECTOR)
(931) 249-0655
Entity
Organization
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(615) 384-2411
Mailing address
PO BOX 30729, CLARKSVILLE, TN 37040-0013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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