NPI Provider: 1235575622
Contact Name: GREEN E MARK
Position: PRESIDENT
Phone: (931) 249-0655
Stoney Brook Emergency Physicians, Pllc Information:
Stoney Brook Emergency Physicians, Pllc organization have npi 1235575622, taxonomy code is 207P00000X with license number is in . This Business address located in PO BOX 31747, CLARKSVILLE, TN 37040 Tennessee.
Practice Location
Address: 1701 PELHAM RD S, JACKSONVILLE, AL 36265
Phone: (256) 435-4970
Business Location
Address: PO BOX 31747, CLARKSVILLE, TN 37040
Fax: (205) 313-5245
Taxonomy
Taxonomy Code: 207P00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 5/13/13
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