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NPI Code Detail

MEDICARE: HERMITAGE MEDICAL ASSOCIATES PLLC

MEDICARE: HERMITAGE MEDICAL ASSOCIATES PLLC
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
1207R00000XInternal Medicine Physician31405TN

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 : 1669640728
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERMITAGE MEDICAL ASSOCIATES PLLC
Provider Business Mailing Address
First Line : 740 COOL SPRINGS BLVD.
Second Line : SUITE 120
City : FRANKLIN
State : TN
Zip : 37067-6449
Country : US
Telephone Number : 615-550-6200
Fax Number : 615-550-6099
Provider Business Practice Location Address
First Line : 740 COOL SPRINGS BLVD.
Second Line : SUITE 120
City : FRANKLIN
State : TN
Zip : 37067-6449
Country : US
Telephone Number : 615-550-6200
Fax Number : 615-550-6099
Authorized Official
Title or Position : PHYSICIAN/CEO
Name : DR. JOSEPH B OZENNE
Credential : M.D.
Telephone Number : 615-550-6200
Provider Enumeration Date : 02/12/2008
Last Update Date : 02/12/2008

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Directions to “HERMITAGE MEDICAL ASSOCIATES PLLC ” Practice Location

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