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NPI Code Detail

MEDICARE: MILLBROOK MEDICAL CENTER

MEDICARE: MILLBROOK MEDICAL CENTER
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
1207Q00000XFamily Medicine Physician
2208000000XPediatrics Physician

General Provider Information

NPI Number : 1376682633
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLBROOK MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 23830
Second Line :
City : NASHVILLE
State : TN
Zip : 37202-3830
Country : US
Telephone Number : 615-384-5554
Fax Number : 615-376-0199
Provider Business Practice Location Address
First Line : 801 HILL ST
Second Line :
City : SPRINGFIELD
State : TN
Zip : 37172-2951
Country : US
Telephone Number : 615-384-5554
Fax Number : 615-384-5534
Authorized Official
Title or Position : ADMINISTRATOR
Name : LANCE GARDINER
Credential :
Telephone Number : 615-384-5554
Provider Enumeration Date : 02/05/2007
Last Update Date : 09/11/2025

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Directions to “MILLBROOK MEDICAL CENTER ” Practice Location

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