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Organization
COLUMBIA MEDICAL GROUP-SOUTHERN HILLS INC
Active
Organization
COLUMBIA MEDICAL GROUP-SOUTHERN HILLS INC
Active
Parent organization
HEALTHSERV ACQUISITION
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHSERV ACQUISITION
Authorized official
DANIEL SYKES (VICE PRESIDENT)
(615) 342-6878
Entity
Organization
Contact information
Practice address
397 WALLACE RD BLDG C, SUITE 100, NASHVILLE, TN 37211-4854
(615) 834-6166
(615) 781-9755
Mailing address
397 WALLACE RD BLDG C, SUITE 100, NASHVILLE, TN 37211-4854
(615) 834-6166
(615) 781-9755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3708815
—
TN
01
—
CE1731
RR MEDICARE
TN
Enumeration date
09/30/2005
Last updated
10/17/2017
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