| Boylan LLC | |
|
1406 Mcgavock Pike Ste B Nashville TN 37216-3233 | |
| (615) 589-8652 | |
| Not Available |
| Full Name | Boylan LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1406 Mcgavock Pike Ste B, Nashville, Tennessee |
| Authorized Official Name and Position | Jason Boylan (OWNER) |
| Authorized Official Contact | 6155898652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boylan LLC 1406 Mcgavock Pike Ste B Nashville TN 37216-3233 Ph: (615) 589-8652 | Boylan LLC 1406 Mcgavock Pike Ste B Nashville TN 37216-3233 Ph: (615) 589-8652 |
| NPI Number | 1972009470 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 6709201049 |
|---|---|
| Medicare Enrollment ID | O20200804002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972009470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | David C Adams-chunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427341544 PECOS PAC ID: 0941426639 Enrollment ID: I20140801002294 |
| Provider Name | Jon M Rapacz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225614852 PECOS PAC ID: 8426428715 Enrollment ID: I20230103000271 |
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