Organization
MEDTRACK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ABNER SAVAGE JR. CRNA (OWNER)
(615) 352-1212
Entity
Organization
Contact information
Practice address
28 WHITE BRIDGE RD STE 108, NASHVILLE, TN 37205-1466
(615) 352-1212
(615) 352-1215
Mailing address
PO BOX 610, GOODLETTSVILLE, TN 37070-0610
(615) 352-1212
(615) 352-1215
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
100002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027765
AANA CERTIFICATION NUMBER
—
Enumeration date
11/09/2007
Last updated
11/09/2007
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