Organization
DONELSON FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RADNAKANTA MISHRA PH.D (OFFICE MANAGER)
(615) 885-3223
Entity
Organization
Contact information
Practice address
205 DONELSON PIKE, NASHVILLE, TN 37214-2903
(615) 885-3223
(615) 885-3231
Mailing address
205 DONELSON PIKE, NASHVILLE, TN 37214-2903
(615) 885-3223
(615) 885-3231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M.D. 8780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166992
—
TN
Enumeration date
10/03/2008
Last updated
10/03/2008
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