Centerwell Senior Primary Care Tn PC

NPI #1215641758 in Hermitage, Tennessee

Provider Information

NPI Number: 1215641758
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: Jan 10, 2023
Last Updated: Jul 3, 2024

Practice Location

Address: 4442B LEBANON PIKE
City: Hermitage
State: Tennessee
ZIP Code: 37076-1312
Phone: (615) 455-5627

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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