Healthcare Provider Details

I. General information

NPI: 1508799875
Provider Name (Legal Business Name): CENTRAL TENNESSEE HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NATCHEZ PARK DR
DICKSON TN
37055-9013
US

IV. Provider business mailing address

105 NATCHEZ PARK DR
DICKSON TN
37055-9013
US

V. Phone/Fax

Practice location:
  • Phone: 615-446-0446
  • Fax:
Mailing address:
  • Phone: 615-446-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL WYATT CHOCKLETT
Title or Position: CEO
Credential:
Phone: 615-446-2657