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Centennial Medical Center

Clinic/Center in Nashville, TN. Organization (NPI-2).

NPI number1740420538
StatusActive
Last updated in NPPESJul 31, 2013

Details

NPI
1740420538
Entity type
Organization (NPI-2)
Legal business name
Centennial Medical Center
Organization subpart
No
Enumeration date
Mar 6, 2009
Last updated
Jul 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterAPN0000016790TNYes
261QX0200X Clinic/Center, Oncology1-116637AL

Practice location

330 23rd Ave N
Nashville, TN 37203-1534

Phone 615-342-5013 · Fax 615-342-7626

Mailing address

330 23rd Ave N
Nashville, TN 37203-1534

Phone 615-342-5013 · Fax 615-342-7626

Authorized official

Sharon Barbour Rhett
Crnp
6153425013

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