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Organization
LIFESTYLE MEDICAL GROUP, PLLC
Active
Organization
LIFESTYLE MEDICAL GROUP, PLLC
Active
Other names
The Center for Natural Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASA ANDREW D.C. (OWNER)
(615) 269-6355
Entity
Organization
Contact information
Practice address
4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
(615) 269-6355
Mailing address
4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
(615) 269-6355
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
1894
TN
111NN1001X
Nutrition Chiropractor
1894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4204756
BLUECROSS BLUESHIELD
TN
Enumeration date
01/11/2008
Last updated
08/03/2009
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