Organization
17TH AVENUE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK STARR M.D. (CEO)
(615) 292-1664
Entity
Organization
Contact information
Practice address
1503 17TH AVE S, NASHVILLE, TN 37212-2805
(615) 292-1664
Mailing address
PO BOX 40466, NASHVILLE, TN 37204-0466
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
38217
TN
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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