| Organization Name: | TENNESSEE EMERGENCY ASSOCIATES |
| NPI Number: | 1003155359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAIRO FORTICH (OWNER) |
| Mailing Address: | 8712 Notting Hill Way Knoxville |
| State: | TN US |
| Postal Code: | 379235912 |
| Phone Number: | 8656941664 |
| Fax Number: | 6265441629 |
| NPI Enumeration Date: | 02/06/2013 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | MD40307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |