| Monogram Health Professional Services Pc | |
|
5410 Maryland Way Ste 301 Brentwood TN 37027-5064 | |
| (615) 673-4455 | |
| Not Available |
| Full Name | Monogram Health Professional Services Pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 5410 Maryland Way Ste 301, Brentwood, Tennessee |
| Authorized Official Name and Position | Kyle Cooksey (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 6155106492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5064 Ph: (615) 673-4455 | Monogram Health Professional Services Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5064 Ph: (615) 673-4455 |
| NPI Number | 1033718093 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033718093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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