Healthcare Provider Details

I. General information

NPI: 1952514234
Provider Name (Legal Business Name): OCCUPATIONAL HEALTH AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 23RD AVE N
NASHVILLE TN
37203-1503
US

IV. Provider business mailing address

311 23RD AVE N
NASHVILLE TN
37203-1503
US

V. Phone/Fax

Practice location:
  • Phone: 615-340-0406
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberNO LICENSE
License Number StateTN

VIII. Authorized Official

Name: DR. CHRIS FLETCHER
Title or Position: CIVIL SERVICE MEDICAL EXAMINER
Credential: MD
Phone: 615-340-0410