# CERASMD OF TN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336891738
- **Authorized official:** SAMUEL CLEMMONS (CEO)
- **Authorized official phone:** (800) 483-7629

## Contact information

- **Practice address:** 2802 BRANSFORD AVE, NASHVILLE, TN 37204-3102
- **Practice address phone:** (800) 483-7629
- **Mailing address:** 2802 BRANSFORD AVE, NASHVILLE, TN 37204-3102
- **Mailing address phone:** (800) 483-7629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 01/26/2022