Organization
MIDDLE TENNESSEE ORTHOPAEDICS PC
Active
Other names
Middle TN Orthopaedics, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P FOGOLIN MD (PRESIDENT)
(615) 264-2600
Entity
Organization
Contact information
Practice address
300 STEAM PLANT RD, STE 420, GALLATIN, TN 37066-3032
(615) 264-2600
Mailing address
353 NEW SHACKLE ISLAND RD, STE 226B, HENDERSONVILLE, TN 37075
(615) 264-2600
(615) 264-1160
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD29374
TN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3815854
—
TN
Enumeration date
09/19/2006
Last updated
03/10/2008
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