Healthcare Provider Details
I. General information
NPI: 1386240398
Provider Name (Legal Business Name): ZENITH FISCAL SOLUTIONS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2020
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5722 HICKORY PLZ STE B4
NASHVILLE TN
37211-8573
US
IV. Provider business mailing address
5722 HICKORY PLZ STE B4
NASHVILLE TN
37211-8573
US
V. Phone/Fax
- Phone: 615-903-2400
- Fax: 615-730-5036
- Phone: 615-903-2400
- Fax: 615-730-5036
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WINSTON
GRINER
Title or Position: AUTHORIZED OFFICIAL/OWNER
Credential: MD
Phone: 615-903-2400