Organization
COLUMBIA MEDICAL GROUP-CENTENNIAL INC
Active
Parent organization
HEALTHSERV ACQUISITION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHSERV ACQUISITION, LLC
Authorized official
GARY DUNCAN (VICE PRESIDENT)
(615) 373-7600
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST, SUITE 115, NASHVILLE, TN 37203-1562
(615) 342-5626
(615) 342-5635
Mailing address
2400 PATTERSON ST, SUITE 115, NASHVILLE, TN 37203-1562
(615) 342-5626
(615) 342-5635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3715626
—
TN
Enumeration date
09/06/2006
Last updated
02/17/2010
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