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NPI Code Detail

MEDICARE: VERSAL

MEDICARE: VERSAL
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
1207RS0012XSleep Medicine (Internal Medicine) Physician
2207RC0200XCritical Care Medicine (Internal Medicine) Physician
3207RP1001XPulmonary Disease Physician
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1346059011
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERSAL
Provider Business Mailing Address
First Line : 1909 MALLORY LN STE 308
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1909 MALLORY LN STE 308
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2843
Country : US
Telephone Number : 615-203-8999
Fax Number : 615-373-1565
Authorized Official
Title or Position : AUTHORIZED OFFICAL
Name : PRAKASH VERMA
Credential : MA
Telephone Number : 615-203-8999
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/15/2025

Similar Medicare Providers

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Practice Location Address:
1909 MALLORY LN STE 308
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37067-2843
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1104829027 — DR. CYRUS C ERICKSON III M.D.
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1154323749 — JILL C FICHTEL MD
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1194862755 — ERIN GAW PRITCHETT M.D., L.L.C.
Practice Location Address:
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1376662718 — DR. NANCY (ERIN) GAW PRITCHETT M.D.
Practice Location Address:
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FRANKLIN, TN
37067-2843
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1295432284 — FICHTEL DERMATOLOGY PLLC
Practice Location Address:
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Directions to “VERSAL ” Practice Location

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