Organization
MUA OF MIDDLE TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA FAYE SMITH (PRACTICE ADMINISTRATOR)
(615) 352-3000
Entity
Organization
Contact information
Practice address
28 WHITE BRIDGE RD, SUITE 210, NASHVILLE, TN 37205-1499
(615) 356-4690
(615) 352-6673
Mailing address
28 WHITE BRIDGE RD, SUITE 210, NASHVILLE, TN 37205-1499
(615) 356-4690
(615) 352-6673
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44C0001180
CMS CERTIFICATION # (CCN)
TN
Enumeration date
12/05/2011
Last updated
02/28/2014
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