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Organization

CHS PENNSYLVANIA MEDICAL, P.C.

Active
Parent organization
CHS HEALTH SERVICES LLC
Other names
Vanguard CrewCare Wellness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHS HEALTH SERVICES LLC
Authorized official
STUART CLARK (EXECUTIVE VP)
(615) 577-5890
Entity
Organization

Contact information

Practice address
5500 MARYLAND WAY STE 200, BRENTWOOD, TN 37027-4973
(615) 577-4927
Mailing address
5500 MARYLAND WAY STE 200, BRENTWOOD, TN 37027-4973

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/17/2014
Last updated
08/22/2016
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