Healthcare Provider Details

I. General information

NPI: 1245791920
Provider Name (Legal Business Name): SYLWIA ANNA RYCHTARCZYK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1559 SPARTA ST
MCMINNVILLE TN
37110-1316
US

IV. Provider business mailing address

PO BOX 337
LAFAYETTE TN
37083-0337
US

V. Phone/Fax

Practice location:
  • Phone: 931-815-4000
  • Fax:
Mailing address:
  • Phone: 615-686-8160
  • Fax: 615-666-4403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number63345
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: