Healthcare Provider Details
I. General information
NPI: 1497102875
Provider Name (Legal Business Name): UC HEALTH CENTER FOR REPRODUCTIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2016
Last Update Date: 05/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 MERIDIAN BLVD SUITE 250
FRANKLIN TN
37067-6667
US
IV. Provider business mailing address
5000 MERIDIAN BLVD SUITE 250
FRANKLIN TN
37067-6667
US
V. Phone/Fax
- Phone: 615-550-4900
- Fax: 615-550-4901
- Phone: 615-550-4900
- Fax: 615-550-4901
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
MARSHALL
Title or Position: CFO
Credential:
Phone: 615-550-4911