Healthcare Provider Details

I. General information

NPI: 1487635710
Provider Name (Legal Business Name): ALL SEASONS ALLERGY & ASTHMA ASSOC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COVEY DR STE 210
FRANKLIN TN
37067-5665
US

IV. Provider business mailing address

100 COVEY DR STE 210
FRANKLIN TN
37067-5665
US

V. Phone/Fax

Practice location:
  • Phone: 615-791-9399
  • Fax: 615-791-9206
Mailing address:
  • Phone: 615-791-9399
  • Fax: 615-791-9206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHELLY C BRUNETTE
Title or Position: OFFICE MANAGER
Credential:
Phone: 615-791-9399