Organization
PBH PROFESSIONAL GROUP, P.A.
Active
Organization
PBH PROFESSIONAL GROUP, P.A.
Active
Other names
PATH Nashville Professional Group
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA F. SADRI-AZARBAYEJANI D.O. (PRESIDENT, SECRETARY, DIRECTOR)
(413) 498-5563
Entity
Organization
Contact information
Practice address
2603 WESTWOOD DR STE 100, NASHVILLE, TN 37204-2709
(629) 899-6072
Mailing address
103 POWELL CT STE 100, BRENTWOOD, TN 37027-5050
(615) 567-7253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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