Provider Demographics
NPI:1881948719
Name:TENNESSEE EMERGENCY MEDICAL ASSOCIATION, LLP
Entity type:Organization
Organization Name:TENNESSEE EMERGENCY MEDICAL ASSOCIATION, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JASBIR
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-647-5034
Mailing Address - Street 1:100 NORTHCREST DRIVE
Mailing Address - Street 2:NORTHCREST MEDICAL CENTER
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172
Mailing Address - Country:US
Mailing Address - Phone:931-647-5034
Mailing Address - Fax:931-552-6663
Practice Address - Street 1:100 NORTHCREST DRIVE
Practice Address - Street 2:NORTHCREST MEDICAL CENTER
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172
Practice Address - Country:US
Practice Address - Phone:931-647-5034
Practice Address - Fax:931-552-6663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty