Whalio Doctors

NPI 1659744530

Red Embers Emergency Physicians, LLC

Organisation Emergency Medicine Physician Dyersburg, TN

Practice location

Address
400 E Tickle St, Dyersburg, TN 38024-3120
Phone
(469) 401-2386
Mailing address
PO Box 80107, Philadelphia, PA 19101-0107

Authorised official

Name
Tenna Behm
Title
Officer
Phone
(469) 401-2386

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1659744530
Entity type
Organization
NPI issued
2 Nov 2015
Record last updated
16 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.