| East Nashville Family Medicine | |
|
805 Woodland St Nashville TN 37206 | |
| (615) 589-8652 | |
| (615) 255-7990 |
| Full Name | East Nashville Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Woodland St, Nashville, Tennessee |
| Authorized Official Name and Position | Jason Lehan Boylan (OWNER) |
| Authorized Official Contact | 6155898652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Nashville Family Medicine 301 Church St Nashville TN 37201-1701 Ph: (615) 589-8652 | East Nashville Family Medicine 805 Woodland St Nashville TN 37206 Ph: (615) 589-8652 |
| NPI Number | 1417384033 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 09/27/2013 |
| Medicare PECOS PAC ID | 5597993337 |
|---|---|
| Medicare Enrollment ID | O20140124000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417384033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 8652 (Tennessee) | Primary |
| Provider Name | Miriam S Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295777993 PECOS PAC ID: 8022146562 Enrollment ID: I20100504000756 |
| Provider Name | Rozmond J Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801006127 PECOS PAC ID: 0345334264 Enrollment ID: I20110413000807 |
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