Organization
TENNESSEE ID PHYSICIANS PC
Active
Organization
TENNESSEE ID PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HEINRICH MD (OWNER/PRESIDENT)
(337) 609-1221
Entity
Organization
Contact information
Practice address
2000 CHURCH ST, NASHVILLE, TN 37236-4400
(615) 284-5555
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/21/2024
Last updated
01/23/2025
Update your record
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