| Knolls Place Medical Clinic Llc | |
|
10 Knolls Pl Nashville TN 37211-7410 | |
| (615) 457-1265 | |
| (615) 457-1326 |
| Full Name | Knolls Place Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Knolls Pl, Nashville, Tennessee |
| Authorized Official Name and Position | Songmin Cai (DIRECTOR) |
| Authorized Official Contact | 6154571265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knolls Place Medical Clinic Llc 10 Knolls Pl Nashville TN 37211-7410 Ph: (615) 457-1265 | Knolls Place Medical Clinic Llc 10 Knolls Pl Nashville TN 37211-7410 Ph: (615) 457-1265 |
| NPI Number | 1508130428 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 02/24/2012 |
| Medicare PECOS PAC ID | 2961661236 |
|---|---|
| Medicare Enrollment ID | O20120306000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508130428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 45100 (Tennessee) | Primary |
| Provider Name | Songmin Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063659209 PECOS PAC ID: 6709939309 Enrollment ID: I20091106000493 |
| Provider Name | Feixia Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720317258 PECOS PAC ID: 9537344007 Enrollment ID: I20110427000062 |
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