Organization
HERITAGE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTIE R STAUSS (PHYSICIAN SERVICES MANAGER)
(629) 255-2620
Entity
Organization
Contact information
Practice address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005167
CERTIFICATE OF RECOGNITIO
—
Enumeration date
10/23/2006
Last updated
09/19/2025
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