| Radnor Medical Group, Inc. | |
|
5505 Edmondson Pike Suite 102 Nashville TN 37211-5869 | |
| (615) 331-1473 | |
| (615) 331-6548 |
| Full Name | Radnor Medical Group, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 5505 Edmondson Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Lance Gardiner (ADMINISTRATOR) |
| Authorized Official Contact | 6153311473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radnor Medical Group, Inc. Po Box 24270 Nashville TN 37202-4270 Ph: (615) 331-1473 | Radnor Medical Group, Inc. 5505 Edmondson Pike Suite 102 Nashville TN 37211-5869 Ph: (615) 331-1473 |
| NPI Number | 1891834198 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891834198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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