Organization
NASHVILLE UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERELY GRADDY (CONTROLLER)
(615) 270-8060
Entity
Organization
Contact information
Practice address
2201 MURPHY AVE STE 203, NASHVILLE, TN 37203-1926
(615) 270-8060
Mailing address
2201 MURPHY AVE STE 203, NASHVILLE, TN 37203-1926
(615) 270-8060
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019467
—
TN
Enumeration date
09/08/2022
Last updated
10/29/2023
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