Organization
EMG CLINICS OF TENNESSEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD C BINGHAM MD (CEO)
(731) 664-0899
Entity
Organization
Contact information
Practice address
3035 NORTH HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 664-0899
(731) 664-0946
Mailing address
3035 NORTH HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 664-0899
(731) 664-0946
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165324700
US DEPT OF LABOR
TN
05
—
186367002
—
AR
05
—
3729760
—
TN
05
—
7100202510
—
KY
01
—
DD3373
RAILROAD MEDICARE
TN
Enumeration date
10/03/2006
Last updated
10/28/2013
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