Healthcare Provider Details

I. General information

NPI: 1235886334
Provider Name (Legal Business Name): NUVIEW HEALTH TENNESSEE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HOSPITAL DR
JEFFERSON CTY TN
37760-5281
US

IV. Provider business mailing address

PO BOX 748480
ATLANTA GA
30374-8480
US

V. Phone/Fax

Practice location:
  • Phone: 865-471-2500
  • Fax:
Mailing address:
  • Phone: 561-299-3667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYAN LUDWIG
Title or Position: CHIEF STRATEGY OFFICER
Credential:
Phone: 561-299-3667