# NGX TENNESSEE PLLC

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

## Provider details

- **NPI number:** 1437936499
- **Authorized official:** RICHARD GRACIANO (PATIENT SERVICE CENTER MANAGER)
- **Authorized official phone:** (915) 261-9418

## Contact information

- **Practice address:** 490 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-3480
- **Practice address phone:** (629) 600-4200
- **Practice address fax:** (629) 600-4201
- **Mailing address:** 490 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-3480
- **Mailing address phone:** (629) 600-4200
- **Mailing address fax:** (629) 600-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 09/13/2023