MEDICARE: MR. ROBERT BRUCE WEEKS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA001212	TN
2	363AS0400X	Surgical Physician Assistant	PA0000001212	TN

General Provider Information

NPI Number	:	1023014263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT BRUCE WEEKS PA-C

Provider Business Mailing Address
First Line	:	1321 MURFREESBORO PIKE
Second Line	:	SUITE 510
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2626
Country	:	US
Telephone Number	:	615-366-8890
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 PATTERSON ST
Second Line	:	SUITE 300
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1562
Country	:	US
Telephone Number	:	615-342-6300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/18/2016

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