Organization
MEDICAL GROUP - SOUTHERN HILLS OF BRENTWOOD LLC
Active
Other names
Medical Group - Southern Hills of Brentwood LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF RYDBURG (VICE PRESIDENT)
(615) 373-7615
Entity
Organization
Contact information
Practice address
317 SEVEN SPRINGS WAY, SUITE 104, BRENTWOOD, TN 37027
(615) 377-4999
(615) 377-8830
Mailing address
317 SEVEN SPRINGS WAY, SUITE 104, BRENTWOOD, TN 37027
(615) 377-4999
(615) 377-8830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370012
—
TN
Enumeration date
01/10/2007
Last updated
12/11/2007
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