# MEDICAL GROUP STONECREST PULMONOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonecrest Gateway Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659439396
- **Authorized official:** JEFF RYDBURG (VP)
- **Authorized official phone:** (615) 373-7415

## Contact information

- **Practice address:** 1725 MEDICAL CENTER PKWY, SUITE 130, MURFREESBORO, TN 37129-2246
- **Practice address phone:** (615) 494-3939
- **Practice address fax:** (615) 494-3941
- **Mailing address:** 1725 MEDICAL CENTER PKWY, SUITE 130, MURFREESBORO, TN 37129-2246
- **Mailing address phone:** (615) 494-3939
- **Mailing address fax:** (615) 494-3941

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 12/11/2007