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Contact Information

SOUTHCREST CLINIC, P. C.
3413 NOLENSVILLE PIKE
SUITE A
NASHVILLE, TN37211-2911
 Phone: 615-333-8383
 Fax: 615-333-1660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for SOUTHCREST CLINIC P C · (Female)

NPI # 1821296088
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2007
Last updated 08/30/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 38730
  • TN License # 6193390001
  • TN License # MD 11290
  • TN License # MD 38730
  • TN License # MD11290
  • TN License # MD42852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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