Healthcare Provider Details
I. General information
NPI: 1316190184
Provider Name (Legal Business Name): MEREDITH LEE GOLDEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/24/2008
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 TH FLOOR NORTH WING VANDERBILT MEDICAL 1161 21ST AVE SOUTH
NASHVILLE TN
37232-0001
US
IV. Provider business mailing address
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US
V. Phone/Fax
- Phone: 615-343-1465
- Fax: 615-343-7317
- Phone: 615-936-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | PA0000002078 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: