# MEDICAL GROUP - SOUTHERN HILLS OF BRENTWOOD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Group - Southern Hills of Brentwood LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811046345
- **Authorized official:** MR. JEFF RYDBURG (VICE PRESIDENT)
- **Authorized official phone:** (615) 373-7615

## Contact information

- **Practice address:** 317 SEVEN SPRINGS WAY, SUITE 104, BRENTWOOD, TN 37027
- **Practice address phone:** (615) 377-4999
- **Practice address fax:** (615) 377-8830
- **Mailing address:** 317 SEVEN SPRINGS WAY, SUITE 104, BRENTWOOD, TN 37027
- **Mailing address phone:** (615) 377-4999
- **Mailing address fax:** (615) 377-8830

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 12/11/2007