Organization
PULMONOLOGY & CRITICAL CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD E PRESTON (EXECUTIVE DIRECTOR)
(931) 540-4255
Entity
Organization
Contact information
Practice address
1222 TROTWOOD AVE, SUITE 605, COLUMBIA, TN 38401-6436
(931) 490-7775
(931) 490-7797
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303B, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725122
—
TN
Enumeration date
05/12/2006
Last updated
06/10/2009
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