Healthcare Provider Details

I. General information

NPI: 1700356888
Provider Name (Legal Business Name): SEVEN SPRINGS ORTHOPAEDICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2018
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5380 HICKORY HOLLOW PKWY STE 201
ANTIOCH TN
37013-3389
US

IV. Provider business mailing address

5380 HICKORY HOLLOW PKWY STE 201
ANTIOCH TN
37013-3389
US

V. Phone/Fax

Practice location:
  • Phone: 615-891-2070
  • Fax: 615-891-2056
Mailing address:
  • Phone: 615-891-2070
  • Fax: 615-891-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN BROWNING
Title or Position: PROVIDER ENROLLMENT
Credential:
Phone: 615-309-2636