Provider Demographics
NPI:1831322973
Name:SR MEDICAL SERVICES
Entity type:Organization
Organization Name:SR MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-567-8847
Mailing Address - Street 1:2497 S ROANE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8666
Mailing Address - Country:US
Mailing Address - Phone:865-599-0300
Mailing Address - Fax:865-321-8887
Practice Address - Street 1:2497 S ROANE ST STE 110
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8666
Practice Address - Country:US
Practice Address - Phone:865-599-0300
Practice Address - Fax:865-321-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty