Healthcare Provider Details
I. General information
NPI: 1295240315
Provider Name (Legal Business Name): NASHVILLE TMS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 MALLORY LN STE 304
FRANKLIN TN
37067-8236
US
IV. Provider business mailing address
30 BURTON HILLS BLVD STE 360
NASHVILLE TN
37215-6407
US
V. Phone/Fax
- Phone: 615-712-6251
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
WEST
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 615-327-4877