| Harding Medical Center | |
|
4126 Nolensville Rd Nashville TN 37211-4717 | |
| (615) 834-2170 | |
| (615) 833-6995 |
| Full Name | Harding Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4126 Nolensville Rd, Nashville, Tennessee |
| Authorized Official Name and Position | Fritz Wawa (OWNER) |
| Authorized Official Contact | 6158342170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harding Medical Center 4126 Nolensville Rd Nashville TN 37211-4717 Ph: (615) 834-2170 | Harding Medical Center 4126 Nolensville Rd Nashville TN 37211-4717 Ph: (615) 834-2170 |
| NPI Number | 1164674818 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Medicare PECOS PAC ID | 7416018775 |
|---|---|
| Medicare Enrollment ID | O20081204000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164674818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 27619 (Tennessee) | Primary |
| Provider Name | Fritz Wawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255400362 PECOS PAC ID: 8628139086 Enrollment ID: I20081204000467 |
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