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NEW SOUTH MEDICAL ENTERPRISES NPI 1477866820


NPI Information

NPI: 1477866820
Provider Name: NEW SOUTH MEDICAL ENTERPRISES
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 44D1062513

Address:
2503 HIGHWAY 41A BYP
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 645-5595
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NEW SOUTH MEDICAL ENTERPRISES is a gynecology obstetrics gynecology in Clarksville, TN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee NEW SOUTH MEDICAL ENTERPRISES NPI is 1477866820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2503 HIGHWAY 41A BYP
CLARKSVILLE, TN
ZIP 37043-902
Phone: (931) 645-5595
Fax: (931) 645-5596

The provider's authorized official is Lisa Marie Mcintosh .
The authorized official title is Medical Director and has the following contact phone number (931) 645-5595.

The CLIA number assigned to this NPI record is 44D1062513 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/14/2010 and was last updated on 7/14/2010.


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
1207VG0400XObstetrics & GynecologyGynecology029433TENNESSEEYes

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

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