MEDICARE: GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	APN0000018071	TN

General Provider Information

NPI Number	:	1326479478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	107 GLEN OAK BLVD
Second Line	:	202
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-3000
Country	:	US
Telephone Number	:	615-826-0710
Fax Number	:	615-826-0910

Provider Business Practice Location Address
First Line	:	107 GLEN OAK BLVD
Second Line	:	202
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-3000
Country	:	US
Telephone Number	:	615-826-0710
Fax Number	:	615-826-0910

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. RANDY HOWARD
Credential	:
Telephone Number	:	615-826-0710

Provider Enumeration Date	:	11/27/2013
Last Update Date	:	11/27/2013

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