Organization
BLUEGRASS INTERNAL MEDICINE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DAWN WEST (OFFICE MANAGER)
(615) 826-2265
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 245C, HENDERSONVILLE, TN 37075-2379
(615) 826-2265
(615) 826-4616
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 245C, HENDERSONVILLE, TN 37075-2379
(615) 826-2265
(615) 826-4616
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APN8044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4112769
BCBS
TN
Enumeration date
07/27/2006
Last updated
10/30/2007
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