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Organization

SYMED, LLC

Active
Parent organization
VERICARE MANAGEMENT, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VERICARE MANAGEMENT, INC
Authorized official
MRS. MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization

Contact information

Practice address
2908 POSTON AVE, NASHVILLE, TN 37203-1312
(800) 370-3651
(877) 515-7147
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2084P0805X
Geriatric Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3377954
TN
01
4083487
BCBS OF TENNESSEE
TN
01
CK6610
RAILROAD MEDICARE
TN
Enumeration date
04/28/2006
Last updated
02/21/2018
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