| M A M Llc | |
|
397 Wallace Rd Ste C300 Nashville TN 37211-8020 | |
| (615) 333-3033 | |
| (615) 333-9912 |
| Full Name | M A M Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 397 Wallace Rd Ste C300, Nashville, Tennessee |
| Authorized Official Name and Position | Elizabeth Hood (BILLING) |
| Authorized Official Contact | 6153330330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M A M Llc 397 Wallace Rd Ste C300 Nashville TN 37211-8020 Ph: (615) 333-3033 | M A M Llc 397 Wallace Rd Ste C300 Nashville TN 37211-8020 Ph: (615) 333-3033 |
| NPI Number | 1730246455 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 9638144611 |
|---|---|
| Medicare Enrollment ID | O20040901000968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730246455 | NPI | - | NPPES |
| 4080481 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather D Rowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427066489 PECOS PAC ID: 6507831591 Enrollment ID: I20040903000472 |
| Provider Name | Ashley Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366733396 PECOS PAC ID: 4385821545 Enrollment ID: I20110615000800 |
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