Healthcare Provider Details

I. General information

NPI: 1609478726
Provider Name (Legal Business Name): SAINT THOMAS MEDICAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MONOGARD DR
MANCHESTER TN
37355-3198
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-9543
  • Fax:
Mailing address:
  • Phone: 615-284-7237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LYNN DION MILLER
Title or Position: DIRECTOR BUSINESS OPERATIONS
Credential:
Phone: 615-284-7237