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NPI Code Detail

MEDICARE: TENNESSEE PHYSICIANS ALLIANCE PC

MEDICARE: TENNESSEE PHYSICIANS ALLIANCE PC
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
1363LF0000XFamily Nurse Practitioner
2207Q00000XFamily Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1467598870
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENNESSEE PHYSICIANS ALLIANCE PC
Provider Business Mailing Address
First Line : 264 NEW SHACKLE ISLAND RD
Second Line : SUITE 107
City : HENDERSONVILLE
State : TN
Zip : 37075-2481
Country : US
Telephone Number : 615-824-4244
Fax Number :
Provider Business Practice Location Address
First Line : 264 NEW SHACKLE ISLAND RD
Second Line : SUITE 107
City : HENDERSONVILLE
State : TN
Zip : 37075-2481
Country : US
Telephone Number : 615-824-4244
Fax Number :
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. RAUL COURET
Credential : M.D.
Telephone Number : 615-824-4244
Provider Enumeration Date : 01/30/2007
Last Update Date : 02/20/2019

Similar Medicare Providers

1013599752 — JESSICA LOUISE BARRETT PA-C
Practice Location Address:
264 NEW SHACKLE ISLAND RD STE 107
HENDERSONVILLE, TN
37075-2481
Practice Phone: 615-824-4244
Practice Fax: 615-824-5916
1427023894 — DR. NELL E NESTOR M.D.
Practice Location Address:
264 NEW SHACKLE ISLAND RD , SUITE 107
HENDERSONVILLE, TN
37075-2481
Practice Phone: 615-824-4244
Practice Fax: 615-824-5916
1033184320 — SUSAN H KIHLMIRE APRN,BC
Practice Location Address:
264 NEW SHACKLE ISLAND ROAD , SUITE 107
HENDERSONVILLE, TN
37075-2481
Practice Phone: 615-824-4244
Practice Fax: 615-824-5916
1992770929 — DR. JOSEPH G TAYLOR M.D.
Practice Location Address:
264 NEW SHACKLE ISLAND RD , SUITE 107
HENDERSONVILLE, TN
37075-2481
Practice Phone: 615-824-4244
Practice Fax: 615-824-5916
1306969696 — DR. RAUL COURET JR. M.D
Practice Location Address:
264 NEW SHACKLE ISLAND ROAD , SUITE 107
HENDERSONVILLE, TN
37075-2481
Practice Phone: 615-824-4244
Practice Fax: 615-824-5917
1437464336 — DR. GURU PADMAKAR MEDAM MD
Practice Location Address:
264 NEW SHACKLE ISLAND RD STE 107
HENDERSONVILLE, TN
37075-2481
Practice Phone: 615-824-4244
Practice Fax: 615-824-5916

Directions to “TENNESSEE PHYSICIANS ALLIANCE PC ” Practice Location

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