Organization
STAR MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PAUL GARVIN MD (MANAGING MEMBER)
(615) 459-5500
Entity
Organization
Contact information
Practice address
429 NISSAN DR, SUITE 103, SMYRNA, TN 37167-4366
(615) 459-5500
(615) 459-5541
Mailing address
PO BOX 266, SMYRNA, TN 37167-0266
(615) 459-5500
(615) 459-5032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17270
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679521058
NPI INDIVIDUAL
TN
Enumeration date
09/08/2009
Last updated
11/12/2009
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