Medical Group - Southern Hills Of Brentwood Llc

LBN: Medical Group - Southern Hills Of Brentwood Llc
Medical Group - Southern Hills Of Brentwood Llc is an health care organization with primary practice located at 317 Seven Springs Way Suite 104, Brentwood TN 37027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Medical Group - Southern Hills Of Brentwood Llc can be contacted via phone (615) 377-4999, or through Rydburg, Jeff via phone (615) 373-7615.

Contact Information

Primary practice address
317 Seven Springs Way Suite 104 Brentwood TN 37027
Fax: (615) 377-8830
Website:
Authorized official contact:
Name: Rydburg, Jeff

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1811046345
LBN Legal business name Medical Group - Southern Hills Of Brentwood Llc
DBA Doing business as Medical Group - Southern Hills Of Brentwood Llc
Authorized official Rydburg, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 11th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811046345 NPPES
Tennessee MEDICAID 3370012

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