# HENDERSONVILLE OBSTETRICS AND GYNECOLOGY

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

## Provider details

- **NPI number:** 1952505414
- **Authorized official:** MS. TERESA B. PUCKETT (PRACTICE MANAGER)
- **Authorized official phone:** (615) 822-3880

## Contact information

- **Practice address:** 353 NEW SHACKLE ISLAND RD, SUITE 221 B, HENDERSONVILLE, TN 37075-2379
- **Practice address phone:** (615) 822-3880
- **Practice address fax:** (615) 264-1664
- **Mailing address:** 353 NEW SHACKLE ISLAND RD, SUITE 221 B, HENDERSONVILLE, TN 37075-2379
- **Mailing address phone:** (615) 822-3880
- **Mailing address fax:** (615) 264-1664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD0000008768 | TN | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/24/2012