Organization
HENDERSONVILLE OB/GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 221B, HENDERSONVILLE, TN 37075-2379
(615) 822-3880
(615) 264-1664
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 221B, HENDERSONVILLE, TN 37075-2379
(615) 822-3880
(615) 264-1664
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723252
—
TN
Enumeration date
09/30/2005
Last updated
07/31/2007
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