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Organization

NASHVILLE MED PEDS LLC

Active
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Organization

NASHVILLE MED PEDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE O BAGGOTT MD (MEMBER)
(615) 865-4996
Entity
Organization

Contact information

Practice address
3443 DICKERSON PIKE, SUITE 460, NASHVILLE, TN 37207-2519
(615) 865-4996
(615) 868-7857
Mailing address
3443 DICKERSON PIKE, SUITE 460, NASHVILLE, TN 37207-2519
(615) 865-4996
(615) 868-7857

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38796
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3727139
TN
Enumeration date
07/13/2006
Last updated
10/28/2010
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