Organization
CRESTMOOR SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J WENDEL MD (OWNER)
(615) 921-2100
Entity
Organization
Contact information
Practice address
2103 CRESTMOOR RD, NASHVILLE, TN 37215-2614
(615) 921-2100
(615) 921-2101
Mailing address
2103 CRESTMOOR RD, NASHVILLE, TN 37215-2614
(615) 921-2100
(615) 921-2101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36486
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531362
—
TN
Enumeration date
09/03/2012
Last updated
08/05/2013
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