Organization
ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JONES MCCLOUD (CREDENTIALING)
(615) 324-1600
Entity
Organization
Contact information
Practice address
395 WALLACE RD STE 201A, NASHVILLE, TN 37211-4881
(615) 324-1600
(615) 324-1661
Mailing address
2004 HAYES ST STE 200, NASHVILLE, TN 37203-2689
(615) 324-1600
(615) 324-1661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
01/08/2021
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