Organization
ADVANCED HEALTH AND WELLNESS CENTER OF NASHVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON BUPP D.C. (OWNER)
(330) 336-9500
Entity
Organization
Contact information
Practice address
2001 MALLORY LN, SUITE 301, FRANKLIN, TN 37067-8233
(615) 905-0120
(615) 778-2900
Mailing address
201 GREAT OAKS TRL, WADSWORTH, OH 44281-9430
(330) 336-9500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010891
—
TN
Enumeration date
07/22/2014
Last updated
04/09/2015
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