Healthcare Provider Details
I. General information
NPI: 1710802640
Provider Name (Legal Business Name): DELVION MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3404 W END AVE STE 111
NASHVILLE TN
37203-1029
US
IV. Provider business mailing address
3404 W END AVE STE 111
NASHVILLE TN
37203-1029
US
V. Phone/Fax
- Phone: 346-396-1252
- Fax:
- Phone: 346-396-1252
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
WILSON
Title or Position: MANAGING MEMBER
Credential:
Phone: 346-396-1252