Organization
LIFESTYLE MEDICAL GROUP, PLLC
Active
Other names
The Center for Natural Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASA ANDREW D.C. (OWNER)
(615) 269-6355
Entity
Organization
Contact information
Practice address
4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
(615) 269-6355
Mailing address
4535 HARDING PIKE STE 210, NASHVILLE, TN 37205-2120
(615) 269-6355
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
1894
TN
111NN1001X
Nutrition Chiropractor
1894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4204756
BLUECROSS BLUESHIELD
TN
Enumeration date
01/11/2008
Last updated
08/03/2009
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