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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.

NPI Number 1821296088
LBN Legal business name SOUTHCREST CLINIC, P. C.
Authorized official KAY SON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2007
Last updated 08/30/2010 - About 16 years ago
Identifiers
TN License # 38730
TN License # 6193390001
TN License # MD 11290
TN License # MD 38730
TN License # MD11290
TN License # MD42852
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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