Organization
COOL SPRINGS INTERVENTIONAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R SHAW MD (PRESIDENT)
(615) 406-0931
Entity
Organization
Contact information
Practice address
3310 ASPEN GROVE DR, SUITE 203, FRANKLIN, TN 37067-2836
(615) 406-0931
Mailing address
3310 ASPEN GROVE DR, SUITE 203, FRANKLIN, TN 37067-2836
(615) 406-0931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30364
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G46246
UPIN
TN
Enumeration date
08/05/2007
Last updated
08/05/2007
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