Organization
TENNESSEE EM-I MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
204 MEDICAL DR, LAFAYETTE, TN 37083-1719
(615) 666-2147
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/03/2021
Last updated
03/30/2023
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