| Somerville Emergency Services, LLC | |
|
214 Lakeview Rd Somerville TN 38068-9737 | |
| (901) 465-3594 | |
| Not Available |
| Full Name | Somerville Emergency Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 214 Lakeview Rd, Somerville, Tennessee |
| Authorized Official Name and Position | Eugene Dauchert (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9197684392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somerville Emergency Services, LLC 6400 Atlantic Blvd Jacksonville FL 32211-8768 Ph: (904) 805-1300 | Somerville Emergency Services, LLC 214 Lakeview Rd Somerville TN 38068-9737 Ph: (901) 465-3594 |
| NPI Number | 1225080997 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225080997 | NPI | - | NPPES |
| 3727937 | Medicaid | TN | |
| 56231441 | Other | TN | TRICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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