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1610 W End Ave Ste 200 Nashville TN 37203-3212 | |
| (615) 229-7287 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1610 W End Ave Ste 200, Nashville, Tennessee |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 1610 W End Ave Ste 200 Nashville TN 37203-3212 Ph: (615) 229-7287 |
| NPI Number | 1932872983 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932872983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mid Tn Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3413 Nolensville Pike, Nashville, TN 37211 Phone: 615-569-4067 | |
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