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NPI Code Detail

MEDICARE: SOPHIA GRACE HADY PA

MEDICARE: SOPHIA GRACE HADY PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1598622870
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA GRACE HADY PA
Provider Business Mailing Address
First Line : 1 UNIVERSITY PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3956
Country : US
Telephone Number : 615-966-7150
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3956
Country : US
Telephone Number : 615-966-7150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/21/2026

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Directions to “ SOPHIA GRACE HADY PA” Practice Location

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