Organization
NGX TENNESSEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRACIANO (PATIENT SERVICE CENTER MANAGER)
(915) 261-9418
Entity
Organization
Contact information
Practice address
490 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-3480
(629) 600-4200
(629) 600-4201
Mailing address
490 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-3480
(629) 600-4200
(629) 600-4201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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