Organization
HERITAGE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTIE R STAUSS (PHYSICIAN SERVICES MANAGER)
(629) 255-2620
Entity
Organization
Contact information
Practice address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3305
TN
Other
Enumeration date
04/13/2006
Last updated
09/03/2025
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