MEDICARE: TENNESSEE PHYSICIAN PARTNERS, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902211915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE 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	:

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	:

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

Provider Enumeration Date	:	06/27/2014
Last Update Date	:	08/11/2014

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