Mid State Medical Group, Llc

LBN: Mid State Medical Group, Llc
Mid State Medical Group, Llc is an health care organization with primary practice located at 1525 Hunt Club Blvd Suite 600, Gallatin TN 37066-6070. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mid State Medical Group, Llc can be contacted via phone (615) 230-9095, or through Mauras, Noridia via phone (615) 390-0708.

Contact Information

Primary practice address
1525 Hunt Club Blvd Suite 600 Gallatin TN 37066-6070
Phone: (615) 230-9095
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mauras, Noridia Doctor of Osteopathy (DO)
Phone: (615) 390-0708

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1782 Tennessee

Profile Details

NPI number 1093725533
LBN Legal business name Mid State Medical Group, Llc
DBA Doing business as
Authorized official Mauras, Noridia Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 14th, 2008 - about 16 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 1093725533 NPPES
Tennessee MEDICAID 3736067
Tennessee Other 1093725533

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