Provider Demographics
NPI:1417201534
Name:EMERGENCY PHYSICIANS AT TROUSDALE PLLC
Entity Type:Organization
Organization Name:EMERGENCY PHYSICIANS AT TROUSDALE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWHORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-230-5463
Mailing Address - Street 1:1542 WRIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-7918
Mailing Address - Country:US
Mailing Address - Phone:615-230-5463
Mailing Address - Fax:
Practice Address - Street 1:500 CHURCH ST
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37074-1744
Practice Address - Country:US
Practice Address - Phone:615-374-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty