Organization
TENNESSEE OBSTETRICS & GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M STAGGS MD (OWNER)
(615) 373-1255
Entity
Organization
Contact information
Practice address
343 FRANKLIN RD, STE 108, BRENTWOOD, TN 37027-5250
(615) 373-1255
(615) 371-9040
Mailing address
343 FRANKLIN RD, STE 108, BRENTWOOD, TN 37027-5250
(615) 373-1255
(615) 371-9040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011790
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3186006
MEDICARE PTAN
TN
Enumeration date
10/30/2014
Last updated
04/30/2015
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