Organization
CRESCENT MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZA AMIN MD (DR)
(615) 807-0562
Entity
Organization
Contact information
Practice address
1412 COUNTY HOSPITAL RD, NASHVILLE, TN 37218-3007
(615) 687-2521
Mailing address
107 ASHTON PARK BLVD, FRANKLIN, TN 37067-6415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103G709628
MEDICARE PTAN
—
05
—
1522283
—
TN
Enumeration date
01/26/2011
Last updated
04/03/2011
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