| Tristar Medical Group - Centennial Primary Care, Llc | |
|
330 23rd Ave N Suite 300 Nashville TN 37203-1522 | |
| (615) 342-6800 | |
| (615) 342-6810 |
| Full Name | Tristar Medical Group - Centennial Primary Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 23rd Ave N, Nashville, Tennessee |
| Authorized Official Name and Position | Gary Duncan (VICE PRESIDENT) |
| Authorized Official Contact | 6158864969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristar Medical Group - Centennial Primary Care, Llc 330 23rd Ave N Suite 150 Nashville TN 37203-1522 Ph: (615) 342-6800 | Tristar Medical Group - Centennial Primary Care, Llc 330 23rd Ave N Suite 300 Nashville TN 37203-1522 Ph: (615) 342-6800 |
| NPI Number | 1679835623 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 10/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679835623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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