Organization
INNOVA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ANTHONY MICELI JR. DC (PRESIDENT)
(615) 414-8459
Entity
Organization
Contact information
Practice address
740 COOL SPRINGS BLVD, SUITE 120, FRANKLIN, TN 37067-6448
(615) 550-6097
Mailing address
1989 BRISBANE DR, SPRING HILL, TN 37174-8575
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD31405
TN
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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