Organization
NASHVILLE GASTROENTEROLOGY AND HEPATOLOGY
Active
Parent organization
NASHVILLE GSSTROENTEROLOGY AND HEPATOLOGY
Other names
Southern Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NASHVILLE GSSTROENTEROLOGY AND HEPATOLOGY
Authorized official
MS. FALEECIA TAYLOR (PRACTICE ADMINISTRATOR)
(615) 390-5053
Entity
Organization
Contact information
Practice address
330 WALLACE RD, SUITE 103, NASHVILLE, TN 37211-4893
(615) 390-5053
(615) 832-5713
Mailing address
330 WALLACE RD, SUITE 103, NASHVILLE, TN 37211-4893
(615) 390-5053
(615) 832-5713
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490001101
RAILROAD MEDICARE PIN
TN
Enumeration date
02/26/2007
Last updated
09/11/2023
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