Organization
MIDDLE TENNESSEE UROLOGY SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM BULLOCK (FINANCIAL MANAGER)
69158931600
Entity
Organization
Contact information
Practice address
1747 MEDICAL CENTER PKWY, SUITE 210, MURFREESBORO, TN 37129-2563
(615) 893-1600
(615) 225-6887
Mailing address
POST OFFICE BOX 7125, MURFREESBORO, TN 37133-7125
(866) 220-7391
(615) 261-6052
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0544566
TN
Other
Enumeration date
04/24/2007
Last updated
02/22/2012
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