| Star Medical Group, Llc | |
|
429 Nissan Dr Suite 103 Smyrna TN 37167-4366 | |
| (615) 459-5500 | |
| (615) 459-5541 |
| Full Name | Star Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 429 Nissan Dr, Smyrna, Tennessee |
| Authorized Official Name and Position | Richard Paul Garvin (MANAGING MEMBER) |
| Authorized Official Contact | 6154595500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Medical Group, Llc Po Box 266 Smyrna TN 37167-0266 Ph: (615) 459-5500 | Star Medical Group, Llc 429 Nissan Dr Suite 103 Smyrna TN 37167-4366 Ph: (615) 459-5500 |
| NPI Number | 1386977429 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386977429 | NPI | - | NPPES |
| 1679521058 | Other | TN | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD17270 (Tennessee) | Primary |
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