# LEBANON DIGESTIVE DISEASE

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

## Provider details

- **NPI number:** 1407878077
- **Authorized official:** MS. KELLY A WRIGHT CMC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (615) 449-6222

## Contact information

- **Practice address:** 100 PHYSICIANS WAY, STE 330, LEBANON, TN 37090-8102
- **Practice address phone:** (615) 449-6222
- **Practice address fax:** (615) 453-1893
- **Mailing address:** 100 PHYSICIANS WAY, STE 330, LEBANON, TN 37090-8102
- **Mailing address phone:** (615) 449-6222
- **Mailing address fax:** (615) 453-1893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 04/20/2008