Northside Medical Professionals, P.c.

NPI #1295044097 in Columbia, Tennessee

Provider Information

NPI Number: 1295044097
Entity Type: Organization
Organization Name: Northside Medical Professionals, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Sep 28, 2010
Last Updated: Sep 28, 2010

Practice Location

Address: 1605 NASHVILLE HWY
Address 2: STE. 200
City: Columbia
State: Tennessee
ZIP Code: 38401-2071
Phone: (931) 540-4210

Authorized Official

Name: DR. SHAWN GENTRY, M.D.
Title: COO
Phone: (931) 540-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Physician Assistant	363A00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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