Organization
GENESIS PALLIATIVE CARE, PLLC
Active
Other names
ADVANCED CARE GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L FORTI DO (DO.,OWNER)
(615) 941-8550
Entity
Organization
Contact information
Practice address
1642 WESTGATE CIR STE 202, BRENTWOOD, TN 37027-8195
(615) 941-8550
(615) 941-8507
Mailing address
1642 WESTGATE CIR STE 202, BRENTWOOD, TN 37027-8195
(615) 941-8550
(615) 941-8507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010936
—
TN
Enumeration date
01/06/2015
Last updated
05/09/2018
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