Advanced Spine And Wellness
Clinic/Center in Nashville, TN. Organization (NPI-2).
NPI number1306468152
StatusActive
Last updated in NPPESMay 15, 2020
Details
- NPI
- 1306468152
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Spine And Wellness
- Organization subpart
- No
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
176 Thompson Ln Ste 102Nashville, TN 37211-2468
Phone 615-739-5047 · Fax 615-739-5057
Mailing address
176 Thompson Ln Ste 102Nashville, TN 37211-2468
Phone 615-739-5047 · Fax 615-739-5057
Authorized official
Larry Mccoy
Owner
6157395047
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