| Centennial Heart, Llc | |
|
2400 Patterson Street Suite 502 Nashville TN 37203 | |
| (615) 515-1900 | |
| Not Available |
| Full Name | Centennial Heart, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Patterson Street, Nashville, Tennessee |
| Authorized Official Name and Position | Louis Joseph (VICE PRESIDENT) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Heart, Llc 2400 Patterson Street Suite 502 Nashville TN 37203 Ph: (615) 515-1900 | Centennial Heart, Llc 2400 Patterson Street Suite 502 Nashville TN 37203 Ph: (615) 515-1900 |
| NPI Number | 1417404385 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 02/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417404385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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