MEDICARE: SANDRA GOLAMCO MD

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	208100000X	Physical Medicine & Rehabilitation Physician	MD 45568	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427045533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA GOLAMCO MD

Provider Business Mailing Address
First Line	:	2001 CHARLOTTE AVE STE 205
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-294-8453
Fax Number	:	615-369-3062

Provider Business Practice Location Address
First Line	:	2001 CHARLOTTE AVE STE 205
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2032
Country	:	US
Telephone Number	:	615-294-8453
Fax Number	:	615-369-3062

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	05/12/2015

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Directions to “ SANDRA GOLAMCO MD” Practice Location

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