Monogram Health Professional Services PC
Internal Medicine, Nephrology in Brentwood, TN. Organization (NPI-2).
NPI number1366041337
StatusActive
Last updated in NPPESNov 17, 2022
Details
- NPI
- 1366041337
- Entity type
- Organization (NPI-2)
- Legal business name
- Monogram Health Professional Services PC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Nov 17, 2022
- Last updated
- Nov 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
5410 Maryland Way Ste 301Brentwood, TN 37027-5064
Phone 615-673-4455
Mailing address
5410 Maryland Way Ste 301Brentwood, TN 37027-5064
Phone 615-673-4455
Authorized official
Shawn Verner
General Counsel And Secretary
6159941889
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