Organization
MEDICAL GROUP STONECREST PULMONOLOGY LLC
Active
Other names
Stonecrest Gateway Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RYDBURG (VP)
(615) 373-7415
Entity
Organization
Contact information
Practice address
1725 MEDICAL CENTER PKWY, SUITE 130, MURFREESBORO, TN 37129-2246
(615) 494-3939
(615) 494-3941
Mailing address
1725 MEDICAL CENTER PKWY, SUITE 130, MURFREESBORO, TN 37129-2246
(615) 494-3939
(615) 494-3941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735729
—
TN
Enumeration date
12/05/2006
Last updated
12/11/2007
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