Organization
MUSIC CITY PREP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BUTLER FNP-BC, MHA (DIRECTOR OR CLINICAL OPERATIONS)
(615) 469-1065
Entity
Organization
Contact information
Practice address
225 S 11TH STREET STE 101A, NASHVILLE, TN 37206-3131
(615) 469-1065
Mailing address
225 S 11TH STREET STE 101A, NASHVILLE, TN 37206-3131
(615) 469-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
03/06/2024
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