Organization
TENNESSEE SPINE & SPORTS MEDECINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. OBRIEN (PRESIDENT)
(615) 315-9002
Entity
Organization
Contact information
Practice address
397 WALLACE RD, STE 410, NASHVILLE, TN 37211-4854
(615) 315-9002
Mailing address
397 WALLACE RD, STE 410, NASHVILLE, TN 37211-4854
(615) 315-9002
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MD0000028032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200042899
RAILROAD MEDICARE
TN
01
—
4454190001
MEDICARE DME
TN
Enumeration date
06/01/2006
Last updated
10/02/2008
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