Organization
PHOENIX MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA DARWIN (OFFICE MANAGER)
(615) 851-7811
Entity
Organization
Contact information
Practice address
740 CONFERENCE DR, SUITE 1, GOODLETTSVILLE, TN 37072-1915
(615) 851-7000
(615) 851-7852
Mailing address
740 CONFERENCE DR, SUITE 1, GOODLETTSVILLE, TN 37072-1915
(615) 851-7000
(615) 851-7852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18477
TN
363L00000X
Nurse Practitioner
—
TN
363LA2200X
Adult Health Nurse Practitioner
APN0000012693
TN
Other
Enumeration date
10/23/2006
Last updated
02/12/2008
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