Organization
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC
Active
Parent organization
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC
Other names
DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC
Authorized official
MARY CHEN (AUTHORIZED OFFICIAL)
(305) 628-6117
Entity
Organization
Contact information
Practice address
505 MAINSTREAM DR, NASHVILLE, TN 37228-1208
(629) 895-0080
(629) 895-5389
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
07/11/2022
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