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Physicians Neuromusculoskeletal Medicine, Sports Medicine

Provider NPI: 1912902099

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
3601 TVC  NASHVILLE, TN 37232-0001 US
Tel: 615-322-3000  Fax: --

Business Mailing Address:
3601 TVC  NASHVILLE, TN 37232-0001 US
Tel: 615-322-3000  Fax: --

NPI Information:
NPI: 1912902099
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Neuromusculoskeletal Medicine, Sports Medicine
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation

Other Provider Identifiers:

RR MEDICARE250014020TN01

American Medical Association 2012 taxonomy code information

Code: 208100000X





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