| Copilotiq Medical Pa | |
|
40 Burton Hills Blvd Ste 200 Nashville TN 37215-5902 | |
| (615) 380-4003 | |
| Not Available |
| Full Name | Copilotiq Medical Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Burton Hills Blvd Ste 200, Nashville, Tennessee |
| Authorized Official Name and Position | Alice Greene (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6153804003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copilotiq Medical Pa 40 Burton Hills Blvd Ste 200 Nashville TN 37215-5902 Ph: (615) 380-4003 | Copilotiq Medical Pa 40 Burton Hills Blvd Ste 200 Nashville TN 37215-5902 Ph: (615) 380-4003 |
| NPI Number | 1144969767 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 9739559014 |
|---|---|
| Medicare Enrollment ID | O20221230002480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144969767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mia Beveridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508377557 PECOS PAC ID: 8224428347 Enrollment ID: I20220805002796 |
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