# CHEATHAM DAM INPATIENT SERVICES PLLC

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

## Provider details

- **NPI number:** 1447506167
- **Authorized official:** KATHY KONDAS (OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 313 N MAIN ST, ASHLAND CITY, TN 37015-1347
- **Practice address phone:** (615) 792-3030
- **Mailing address:** 3114 CROASDAILE DR STE 200, DURHAM, NC 27705-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | TN | Yes |
| 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