Organization
RADNOR MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GARDINER (ADMINISTRATOR)
(615) 331-1473
Entity
Organization
Contact information
Practice address
5505 EDMONDSON PIKE, SUITE 102, NASHVILLE, TN 37211-5869
(615) 331-1473
(615) 331-6548
Mailing address
PO BOX 24270, NASHVILLE, TN 37202-4270
(615) 331-1473
(615) 376-0199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/11/2007
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