Organization
MEADOWVIEW PHYSICIAN PRACTICE LLC
Active
Other names
Meadowview General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (CORPORATE SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
991 MEDICAL PARK DR, SUITE 201, MAYSVILLE, KY 41056
(615) 957-0847
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30189
KY
208800000X
Urology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100072970
—
KY
Enumeration date
10/06/2008
Last updated
04/03/2020
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