Healthcare Provider Details
I. General information
NPI: 1023290251
Provider Name (Legal Business Name): STERLING PRIMARY CARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2007
Last Update Date: 10/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2400 PATTERSON STREET SUITE 500
NASHVILLE TN
37203-1582
US
IV. Provider business mailing address
2400 PATTERSON STREET SUITE 500
NASHVILLE TN
37203-1582
US
V. Phone/Fax
- Phone: 615-327-7400
- Fax: 615-327-4818
- Phone: 615-327-7400
- Fax: 615-327-4818
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | TN |
VIII. Authorized Official
Name:
GARY
DUNCAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 615-373-7600