Healthcare Provider Details

I. General information

NPI: 1740758879
Provider Name (Legal Business Name): PRECISION MEN'S HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 CARL ADAMS DR STE 400
MURFREESBORO TN
37129-4375
US

IV. Provider business mailing address

1508 CARL ADAMS DR STE 400
MURFREESBORO TN
37129-4375
US

V. Phone/Fax

Practice location:
  • Phone: 615-551-2100
  • Fax:
Mailing address:
  • Phone: 615-551-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN BILLUPS
Title or Position: CEO
Credential: MD
Phone: 615-551-2100