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Organization
SYMED, LLC
Active
Organization
SYMED, LLC
Active
Parent organization
VERICARE MANAGEMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERICARE MANAGEMENT, INC
Authorized official
MRS. MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization
Contact information
Practice address
2908 POSTON AVE, NASHVILLE, TN 37203-1312
(800) 370-3651
(877) 515-7147
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377954
—
TN
01
—
4083487
BCBS OF TENNESSEE
TN
01
—
CK6610
RAILROAD MEDICARE
TN
Enumeration date
04/28/2006
Last updated
02/21/2018
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