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DEDICATED PHYSICIANS GROUP OF TENNESSEE PLLC NPI 1215672191


NPI Information

NPI: 1215672191
Provider Name: DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC

Doing Business As: DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 44D2280558

Address:
505 MAINSTREAM DR
NASHVILLE, TN
ZIP 37228
Phone: (629) 895-0080
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DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC is a non pharmacy dispensing site in Nashville, TN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC NPI is 1215672191. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dedicated Senior Medical Center Bordeaux (tc).

The provider's business location address is:

505 MAINSTREAM DR
NASHVILLE, TN
ZIP 37228-208
Phone: (629) 895-0080
Fax: (629) 895-5389

The provider's authorized official is Mary Chen .
The authorized official title is Authorized Official and has the following contact phone number (305) 628-6117.

The CLIA number assigned to this NPI record is 44D2280558 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 7/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.