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NPI Code Detail

MEDICARE: MUSIC VALLEY MEDICAL CENTER, PLLC

MEDICARE: MUSIC VALLEY MEDICAL CENTER, PLLC
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
1261QU0200XUrgent Care Clinic/Center8392TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11144288747OTHERTNNPI
21538116561OTHERTNNPI
31740384320OTHERTNNPI

General Provider Information

NPI Number : 1578719845
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSIC VALLEY MEDICAL CENTER, PLLC
Provider Business Mailing Address
First Line : 2416 MUSIC VALLEY DR
Second Line : SUITE 118
City : NASHVILLE
State : TN
Zip : 37214-1011
Country : US
Telephone Number : 615-777-9336
Fax Number : 615-552-0152
Provider Business Practice Location Address
First Line : 2416 MUSIC VALLEY DR
Second Line : SUITE 118
City : NASHVILLE
State : TN
Zip : 37214-1011
Country : US
Telephone Number : 615-777-9336
Fax Number : 615-552-0152
Authorized Official
Title or Position : OWNER/MANAGER
Name : MR. JASON L BOYLAN
Credential : FNP-C
Telephone Number : 615-777-9336
Provider Enumeration Date : 08/18/2008
Last Update Date : 02/10/2009

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