Tristar Medical Group - Centennial Primary Care, LLC

NPI #1679835623 in Nashville, Tennessee

Provider Information

NPI Number: 1679835623
Entity Type: Organization
Organization Name: Tristar Medical Group - Centennial Primary Care, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 14, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 330 23RD AVE N
Address 2: SUITE 300
City: Nashville
State: Tennessee
ZIP Code: 37203-1522
Phone: (615) 342-6800

Authorized Official

Name: GARY DUNCAN
Title: VICE PRESIDENT
Phone: (615) 886-4969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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