Organization
TREVECCA NAZARENE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MOREDOCK M.D. (DIRECTOR OF PHYSICIAN ASSISTANT PRO)
(615) 248-1225
Entity
Organization
Contact information
Practice address
333 MURFREESBORO RD, NASHVILLE, TN 37210-2834
(615) 248-1200
Mailing address
3802 CRYSTAL SPRING LN, HERMITAGE, TN 37076-4174
(308) 672-4408
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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