Organization
BRADLAKE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHINWE C UMEH (MANAGER)
(615) 232-7162
Entity
Organization
Contact information
Practice address
500 MAPLELEAF DRIVE, SUITE 200, NASHVILLE, TN 37210
(615) 232-7162
(615) 232-7308
Mailing address
P.O BOX 148576, NASHVILLE, TN 37214
(615) 232-7162
(615) 232-7308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000014656
TN
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
MD0000014656
TN
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528386
—
TN
Enumeration date
04/30/2012
Last updated
03/27/2013
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