Healthcare Provider Details

I. General information

NPI: 1952581191
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF MIDDLE AND EAST TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 DR DB TODD JR BLVD
NASHVILLE TN
37203-2838
US

IV. Provider business mailing address

50 VANTAGE WAY SUITE 102
NASHVILLE TN
37228-1523
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-7216
  • Fax: 615-320-5233
Mailing address:
  • Phone: 615-345-0952
  • Fax: 615-345-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF TEAGUE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 615-345-0952