Provider Demographics
NPI:1760823082
Name:ERX GROUP, LLC
Entity Type:Organization
Organization Name:ERX GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVRNJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-777-1300
Mailing Address - Street 1:9724 KINGSTON PIKE STE 208
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3389
Mailing Address - Country:US
Mailing Address - Phone:865-777-1300
Mailing Address - Fax:
Practice Address - Street 1:302 S WAYNE ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:GA
Practice Address - Zip Code:31510-2922
Practice Address - Country:US
Practice Address - Phone:865-777-1300
Practice Address - Fax:865-777-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty