Unknown Individual – Emergency Medicine Physician, NPI 1396719829
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 65026
CHARLOTTE, NC 282650026
Phone: (800) 377-8721
Fax: (304) 523-2241
Type: Mailing
845, Union Street, Fairlane Estates, Shelbyville, Bedford County, Middle Tennessee, Tennessee, 37160, United States
SHELBYVILLE, TN 371602607
Phone: (931) 685-5433
Fax: (931) 685-5449
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 28265)
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