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Organization
CHEATHAM DAM INPATIENT SERVICES PLLC
Active
Organization
CHEATHAM DAM INPATIENT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
313 N MAIN ST, ASHLAND CITY, TN 37015-1347
(615) 792-3030
Mailing address
3114 CROASDAILE DR STE 200, DURHAM, NC 27705-2508
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
TN
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/31/2012
Last updated
02/26/2021
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