MEDICARE: PHYSICIAN PARTNERS PC

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	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1336571660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIAN PARTNERS PC

Provider Business Mailing Address
First Line	:	201 JORDAN RD
Second Line	:	SUITE 200
City	:	FRANKLIN
State	:	TN
Zip	:	37067-4495
Country	:	US
Telephone Number	:	615-595-8383
Fax Number	:	615-614-8425

Provider Business Practice Location Address
First Line	:	201 JORDAN RD
Second Line	:	SUITE 200
City	:	FRANKLIN
State	:	TN
Zip	:	37067-4495
Country	:	US
Telephone Number	:	615-595-8383
Fax Number	:	615-614-8425

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	JEFF BOGLE
Credential	:
Telephone Number	:	615-595-8383

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	11/01/2013

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