Organization
OLD HICKORY PSYCHIATRIC ASSN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON J ELAZAR MD (CHIEF MANAGER)
(615) 206-9111
Entity
Organization
Contact information
Practice address
706 CADET CT, LEBANON, TN 37087-2649
(615) 206-9111
(615) 789-8315
Mailing address
695 NASHVILLE PIKE 313, GALLATIN, TN 37066
(615) 206-9111
(615) 206-9212
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35261
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3879766
—
TN
Enumeration date
09/27/2006
Last updated
12/01/2022
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