# TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC

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

## Provider details

- **NPI number:** 1841471216
- **Authorized official:** DR. CLYDE OBRIEN SOUTHWELL MD, FCCP (PHYSICIAN/MEDICAL DIRECTOR)
- **Authorized official phone:** (615) 822-2214

## Contact information

- **Practice address:** 102 WESSINGTON PL, HENDERSONVILLE, TN 37075-3085
- **Practice address phone:** (615) 822-2214
- **Practice address fax:** (615) 822-6519
- **Mailing address:** 102 WESSINGTON PL, HENDERSONVILLE, TN 37075-3085
- **Mailing address phone:** (615) 822-2214
- **Mailing address fax:** (615) 822-6519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 10/17/2017
