| Donelson Family Practice, Pllc | |
|
205 Donelson Pike Nashville TN 37214-2903 | |
| (615) 885-3223 | |
| (615) 885-3231 |
| Full Name | Donelson Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 Donelson Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Radnakanta Mishra (OFFICE MANAGER) |
| Authorized Official Contact | 6158853223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donelson Family Practice, Pllc 205 Donelson Pike Nashville TN 37214-2903 Ph: (615) 885-3223 | Donelson Family Practice, Pllc 205 Donelson Pike Nashville TN 37214-2903 Ph: (615) 885-3223 |
| NPI Number | 1972754315 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 10/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972754315 | NPI | - | NPPES |
| 3166992 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M.D. 8780 (Tennessee) | Primary |
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