Organization
SOUTHERN SPORTS MEDICINE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY L MCGAHEE (BILLING MGR)
(615) 452-3320
Entity
Organization
Contact information
Practice address
570 HARTSVILLE PIKE, PO 1686, GALLATIN, TN 37066-2450
(615) 452-3320
(615) 452-2668
Mailing address
570 HARTSVILLE PIKE, GALLATIN, TN 37066-2450
(615) 452-3320
(615) 452-2668
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4374964
TN
Other
Enumeration date
05/25/2007
Last updated
04/15/2010
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