Healthcare Provider Details

I. General information

NPI: 1366478703
Provider Name (Legal Business Name): THE BONE & JOINT CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 BEDFORD WAY
FRANKLIN TN
37064
US

IV. Provider business mailing address

206 BEDFORD WAY
FRANKLIN TN
37064
US

V. Phone/Fax

Practice location:
  • Phone: 615-790-3290
  • Fax: 615-794-8845
Mailing address:
  • Phone: 615-790-3290
  • Fax: 615-794-8845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA M RAINES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 615-595-6436