Providence Obstetrics and Gynecology, Pllc

NPI #1467716142 in Smyrna, Tennessee

Provider Information

NPI Number: 1467716142
Entity Type: Organization
Organization Name: Providence Obstetrics and Gynecology, Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 27, 2012
Last Updated: Oct 8, 2013

Practice Location

Address: 300 STONECREST BLVD
Address 2: SUITE 250
City: Smyrna
State: Tennessee
ZIP Code: 37167-5688
Phone: (615) 984-4751

Authorized Official

Name: DR. NINA D SHAPIRO
Title: PRACTICE MANAGER
Phone: (615) 984-4751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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