| Corban Boyd Cressley, PA, ATC | |
|
1301 Medical Center Dr, Nashville, TN 37232-0028 | |
| (615) 322-5000 | |
| Not Available |
| Full Name | Corban Boyd Cressley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1301 Medical Center Dr, Nashville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790315695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4018 (Tennessee) | Primary |
| 363AM0700X | Physician Assistant - Medical | (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owensboro Health, Inc | 0547154650 | 179 |
| Elite Sports Medicine And Orthopaedic Center Plc | 8729009634 | 90 |
| Entity Name | Elite Sports Medicine and Orthopaedic Center PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528281623 PECOS PAC ID: 8729009634 Enrollment ID: O20051207000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Corban Boyd Cressley, PA, ATC 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 322-6842 | Corban Boyd Cressley, PA, ATC 1301 Medical Center Dr, Nashville, TN 37232-0028 Ph: (615) 322-5000 |
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