Healthcare Provider Details

I. General information

NPI: 1356515779
Provider Name (Legal Business Name): PARISH FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE SUITE 670
NASHVILLE TN
37207-2519
US

IV. Provider business mailing address

3443 DICKERSON PIKE SUITE 670
NASHVILLE TN
37207-2519
US

V. Phone/Fax

Practice location:
  • Phone: 615-865-1881
  • Fax: 615-865-4295
Mailing address:
  • Phone: 615-865-1881
  • Fax: 615-865-4295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number42966
License Number StateTN

VIII. Authorized Official

Name: DR. SAMUEL KEITH PARISH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 615-865-1881