Organization
MIDDLE TENNESSEE ORTHOPAEDICS, PC
Active
Other names
Middle TN Orthopaedics, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PAUL FOGOLIN MD (PRESIDENT)
(615) 264-2600
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, STE 226B, HENDERSONVILLE, TN 37075-2386
(615) 264-2600
(615) 590-0065
Mailing address
353 NEW SHACKLE ISLAND RD, STE 226B, HENDERSONVILLE, TN 37075-2386
(615) 264-2600
(615) 590-0065
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3716736
—
TN
Enumeration date
02/16/2007
Last updated
10/17/2012
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