Organization
HOSPITAL MEDICINE SERVICES OF TENNESSEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L. DABBS MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 537-1010
Mailing address
PO BOX 638984, CINCINNATI, OH 45263-8984
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201370030A
—
IN
05
—
7100399990
—
KY
05
—
7100406750
—
KY
05
—
Q018841
—
TN
Enumeration date
12/11/2015
Last updated
03/17/2023
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