Organization
MID-STATE PHYSICIANS, LLC
Active
Other names
dba Mid-State Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK LOCKE (VP)
(615) 373-7600
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST, NASHVILLE, TN 37203-1562
(615) 342-6509
(615) 342-1585
Mailing address
2400 PATTERSON ST, NASHVILLE, TN 37203-1562
(615) 342-6509
(615) 342-1585
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3705469
—
TN
Enumeration date
10/18/2005
Last updated
09/12/2007
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