Sunshine Medical, LLC

NPI #1306023361 in Madison, Tennessee

Provider Information

NPI Number: 1306023361
Entity Type: Organization
Organization Name: Sunshine Medical, LLC
Primary Specialty: Physician Assistant
Enumeration Date: Jan 22, 2008
Last Updated: Jan 22, 2008

Practice Location

Address: 801 E OLD HICKORY BLVD
Address 2: STE 150
City: Madison
State: Tennessee
ZIP Code: 37115-4169
Phone: (615) 942-9271

Authorized Official

Name: KAWANDUS LOVETT BENNETT, PA-C
Title: CEO
Phone: (615) 942-9271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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