Healthcare Provider Details

I. General information

NPI: 1710266192
Provider Name (Legal Business Name): STONE URGENT CARE AND OCCUPATIONAL.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 NOLENSVILLE PIKE SUITE D
NASHVILLE TN
37211-3329
US

IV. Provider business mailing address

3708 NOLENSVILLE PIKE SUITE D
NASHVILLE TN
37211-3329
US

V. Phone/Fax

Practice location:
  • Phone: 615-315-0037
  • Fax: 615-315-0795
Mailing address:
  • Phone: 615-315-0037
  • Fax: 615-315-0795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberD.O. #855
License Number StateTN

VIII. Authorized Official

Name: DR. ROSA L. STONE
Title or Position: SECRETARY
Credential: D.O.
Phone: 615-315-0037