# EVERGREEN HEALTHCARE TENNESSEE LLC

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

## Provider details

- **NPI number:** 1871417683
- **Authorized official:** FREMLIN DEKYI JR. MD (CEO)
- **Authorized official phone:** (917) 428-8463

## Contact information

- **Practice address:** 445 BENTON AVE UNIT 311, NASHVILLE, TN 37204-2684
- **Practice address phone:** (315) 415-3546
- **Mailing address:** 445 BENTON AVE UNIT 311, NASHVILLE, TN 37204-2684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | — | NULL | Yes |
| 202C00000X | Independent Medical Examiner Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/05/2026