| Tristar Medical Group - Legacy Health, Llc | |
|
2400 Patterson Street, Suite 418 Nashville TN 37203-1575 | |
| (615) 342-6000 | |
| Not Available |
| Full Name | Tristar Medical Group - Legacy Health, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Patterson Street, Suite 418, Nashville, Tennessee |
| Authorized Official Name and Position | Dan Sykes (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6153426878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristar Medical Group - Legacy Health, Llc 2400 Patterson Street, Suite 418 Nashville TN 37203-1575 Ph: (615) 342-6000 | Tristar Medical Group - Legacy Health, Llc 2400 Patterson Street, Suite 418 Nashville TN 37203-1575 Ph: (615) 342-6000 |
| NPI Number | 1821548280 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 2466722012 |
|---|---|
| Medicare Enrollment ID | O20170714001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821548280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Burton P Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154491207 PECOS PAC ID: 5698857845 Enrollment ID: I20080128000520 |
| Provider Name | Hyatt D Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699760587 PECOS PAC ID: 6406906676 Enrollment ID: I20090609000569 |
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