Organization
TENNESSEE ORTHOPAEDIC ALLIANCE PA
Active
Other names
Mid Tennessee Bone and Joint a Div of TOA
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MCSWAIN (CREDENTIALING SPECIALIST)
(865) 243-8183
Entity
Organization
Contact information
Practice address
1050 N JAMES M CAMPBELL BLVD STE 200, COLUMBIA, TN 38401-2754
(931) 381-2663
(931) 490-1369
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 243-8183
(865) 692-2354
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406260038
CEDI
TN
05
—
3372041
—
TN
Enumeration date
12/23/2020
Last updated
10/08/2023
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