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NPI Code Detail

MEDICARE: MUSIC CITY PREP CLINIC

MEDICARE: MUSIC CITY PREP CLINIC
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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1912676461
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSIC CITY PREP CLINIC
Provider Business Mailing Address
First Line : 225 S 11TH STREET STE 101A
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3131
Country : US
Telephone Number : 615-469-1065
Fax Number :
Provider Business Practice Location Address
First Line : 225 S 11TH STREET STE 101A
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3131
Country : US
Telephone Number : 615-469-1065
Fax Number :
Authorized Official
Title or Position : DIRECTOR OR CLINICAL OPERATIONS
Name : JASON BUTLER
Credential : FNP-BC, MHA
Telephone Number : 615-469-1065
Provider Enumeration Date : 09/08/2021
Last Update Date : 03/06/2024

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Directions to “MUSIC CITY PREP CLINIC ” Practice Location

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