Organization
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VICE PRESIDENT)
(615) 886-4969
Entity
Organization
Contact information
Practice address
330 23RD AVE N, SUITE 300, NASHVILLE, TN 37203-1522
(615) 342-6800
(615) 342-6810
Mailing address
330 23RD AVE N, SUITE 150, NASHVILLE, TN 37203-1522
(615) 342-6800
(615) 342-6810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
10/17/2012
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