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Specialty details in registry · Nashville, TN

Call (615) 259-0175 Directions

At a glance

1 Vantage Way Ste 100, Nashville, TN 37228-1515

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1 Vantage Way Ste 100
Nashville, TN 37228-1515
Professional details: NPI, taxonomy & registry record
NPI1275672685
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
320600000X
Enumeration date
Feb 5, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

320600000X · Primary

License reported: L3(20)4M5-085-3042 TN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1 Vantage Way Ste 100
Nashville, TN 37228-1515
Phone
(615) 259-0175
Fax
(615) 259-3770
Mailing address
PO BOX 44105

FAYETTEVILLE, NC 283094105
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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