Organization · NPI-2

Northside Medical Professionals, P.C.

Family Medicine · Lewisburg, TN

NPI number1982460200
StatusActive
Last updated in NPPESFeb 23, 2024

Details

NPI
1982460200
Entity type
Organization (NPI-2)
Legal business name
Northside Medical Professionals, P.C.
Organization subpart
No
Enumeration date
Feb 23, 2024
Certification date
Feb 23, 2024
Last updated
Feb 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Northside Medical Professionals Lewisburg (Doing Business As)

Practice location

641 E Commerce St
Lewisburg, TN 37091-2816

Phone 931-540-4210 · Fax 931-380-1202

Mailing address

1605 Nashville Hwy Ste 200
Columbia, TN 38401-2132

Phone 931-540-4210 · Fax 931-380-1202

Authorized official

Carrie Lynn Stewart
Billing Supervisor
3197970425

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