| Black Orchid Body Shop | |
|
5 Industrial Park Dr Suite 3 Hendersonville TN 37075-2172 | |
| (615) 447-9710 | |
| Not Available |
| Full Name | Black Orchid Body Shop |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Industrial Park Dr, Hendersonville, Tennessee |
| Authorized Official Name and Position | Elizabeth Gorrell (OWNER/BUSINESS MANAGER) |
| Authorized Official Contact | 6154479710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Orchid Body Shop 5 Industrial Park Dr Suite 3 Hendersonville TN 37075-2172 Ph: (615) 447-9710 | Black Orchid Body Shop 5 Industrial Park Dr Suite 3 Hendersonville TN 37075-2172 Ph: (615) 447-9710 |
| NPI Number | 1265779466 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265779466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31924 (Tennessee) | Primary |
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