Healthcare Provider Details

I. General information

NPI: 1720742174
Provider Name (Legal Business Name): SEVEN SPRINGS ORTHOPAEDICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N THOMPSON LN STE 1H
MURFREESBORO TN
37129-4340
US

IV. Provider business mailing address

317 SEVEN SPRINGS WAY STE 101
BRENTWOOD TN
37027-4576
US

V. Phone/Fax

Practice location:
  • Phone: 615-553-5000
  • Fax: 615-758-3875
Mailing address:
  • Phone: 615-370-9992
  • Fax: 615-370-9665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARK TULLOCH
Title or Position: CEO
Credential:
Phone: 615-370-9992