Primary Care Physicians Of Tennessee Pllc

NPI 1053454256 - Internal Medicine - 207R00000X

NPI Details
NPI 1053454256
Enumeration Date 02/15/2007
Last Updated 07/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TAKASHA L TAKASHA
Position OWNER
Phone (615) 586-4245
Fax (866) 412-1291
Practice Location
739 PRESIDENT PL
SUITE 220
SMYRNA TN, 37167-6844, US
Phone (615) 586-4245
Fax (866) 412-1291
Business Location
PO BOX 41166
NASHVILLE TN, 37204-1166, US
Phone (615) 586-4245
Fax (866) 418-1291
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 041071
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According to our database, Primary Care Physicians Of Tennessee Pllc NPI is 1053454256, taxonomy code is 207R00000X and license number is 041071, license state is located at Tennessee. Primary Care Physicians Of Tennessee Pllc physically located at 739 President Pl, Smyrna TN, 37167-6844. NPI Number 1033115704 has the healthcare provider type.

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1053454256 NPI number is provided on an as is basis without warranty of any kind. 1053454256 is maintained by the National Plan & Provider Enumeration System. The contents of Primary Care Physicians Of Tennessee Pllc are for informational purposes only.