Basic Information
| Provider Information | |||||||||
| NPI: | 1578292165 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | URGENT SPECIALTY ASSOCIATES OF TENNESSEE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13500 POWERS CT STE 230 | ||||||||
| Address2: | |||||||||
| City: | FORT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339124503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8178560655 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1800 MEDICAL CENTER PKWY STE 420 | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371293193 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152295565 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2022 | ||||||||
| LastUpdateDate: | 06/08/2022 | ||||||||
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| AuthorizedOfficialLastName: | JOSEPHS | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4696099908 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 06/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0127X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
No ID Information.