Healthcare Provider Details

I. General information

NPI: 1609502533
Provider Name (Legal Business Name): QUATRACOR COMPLETE HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CHURCH ST
NASHVILLE TN
37201-1701
US

IV. Provider business mailing address

6746 CHARLOTTE PIKE
NASHVILLE TN
37209-4204
US

V. Phone/Fax

Practice location:
  • Phone: 615-255-7902
  • Fax: 615-255-7990
Mailing address:
  • Phone: 629-203-7585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS BABCOCK
Title or Position: OWNER
Credential:
Phone: 615-604-8364