Organization
M A M LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH HOOD (BILLING)
(615) 333-0330
Entity
Organization
Contact information
Practice address
397 WALLACE RD STE C300, NASHVILLE, TN 37211-8020
(615) 333-3033
(615) 333-9912
Mailing address
397 WALLACE RD STE C300, NASHVILLE, TN 37211-8020
(615) 333-3033
(615) 333-9912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4080481
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/02/2007
Last updated
10/23/2013
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