MEDICARE: ST. FRANCIS PHYSICIAN PRACTICES LLC

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1508458563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS PHYSICIAN PRACTICES LLC

Provider Business Mailing Address
First Line	:	330 SEVEN SPRINGS WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5098
Country	:	US
Telephone Number	:	615-920-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 RIVER RD STE 301
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3353
Country	:	US
Telephone Number	:	706-320-2719
Fax Number	:	706-320-2726

Authorized Official
Title or Position	:	AVP, SECRETARY
Name	:	KATHY TEAGUE
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/10/2021

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