Organization
TENNESSEE SPINE AND JOINT CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A. PETRI (REIMBURSEMENT)
(615) 298-3205
Entity
Organization
Contact information
Practice address
2011 MURPHY AVE, SUITE 309, NASHVILLE, TN 37203-2023
(615) 298-3205
(615) 298-3283
Mailing address
2011 MURPHY AVE, SUITE 309, NASHVILLE, TN 37203-2023
(615) 298-3205
(615) 298-3205
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669445813
INDIVIDUAL NPI NUMBER
TN
01
—
1891790010
INDIVIDUAL NPI NUMBER
TN
01
—
3159657
BCBS
TN
01
—
4111112
BCBS
TN
Enumeration date
10/02/2006
Last updated
02/12/2008
Update your record
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