| Dedicated Senior Medical Center Bordeaux (tc) | |
|
505 Mainstream Dr Nashville TN 37228-1208 | |
| (629) 895-0080 | |
| (629) 895-5389 |
| Full Name | Dedicated Senior Medical Center Bordeaux (tc) |
|---|---|
| Speciality | Non-pharmacy Dispensing Site |
| Location | 505 Mainstream Dr, Nashville, Tennessee |
| Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3056286117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Senior Medical Center Bordeaux (tc) 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 | Dedicated Senior Medical Center Bordeaux (tc) 505 Mainstream Dr Nashville TN 37228-1208 Ph: (629) 895-0080 |
| NPI Number | 1215672191 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215672191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
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