Centerwell Senior Primary Care Tn PC

NPI #1043933781 in Smyrna, Tennessee

Provider Information

NPI Number: 1043933781
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Tn PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE TN PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 19, 2022
Last Updated: Jul 3, 2024

Practice Location

Address: 405 W SAM RIDLEY PKWY
City: Smyrna
State: Tennessee
ZIP Code: 37167-5626
Phone: (615) 257-6027

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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