Healthcare Provider Details

I. General information

NPI: 1972975258
Provider Name (Legal Business Name): TENNESSEE FERTILITY ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 10/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9160 CAROTHERS PKWY
FRANKLIN TN
37067-6688
US

IV. Provider business mailing address

5000 MERIDIAN BLVD STE 250
FRANKLIN TN
37067-6681
US

V. Phone/Fax

Practice location:
  • Phone: 615-550-7362
  • Fax: 615-550-7362
Mailing address:
  • Phone: 615-550-7362
  • Fax: 615-550-7362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: INDERBIR GILL
Title or Position: ORGANIZER
Credential: MD
Phone: 615-550-4922