Lifestyle Medical Group, Pllc in Nashville - Internist
Lifestyle Medical Group, Pllc - NPI 1700062411
Lifestyle Medical Group, Pllc is a Internist in Nashville, Tennessee. Lifestyle Medical Group, Pllc practices all healthcare services and medical treatments related to Internist. The NPI Number for Lifestyle Medical Group, Pllc is 1700062411. The last update date is 2009-08-03.
Lifestyle Medical Group, Pllc's current location address is 4535 Harding Pike Ste 210, Nashville, Tennessee. You can contact this provider via phone number 6152696355. The mailing address for Lifestyle Medical Group, Pllc is 4535 Harding Pike Ste 210, Nashville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestyle Medical Group, Pllc |
|---|---|
| Address | 4535 Harding Pike Ste 210, Nashville, Tennessee |
| Phone Number | 6152696355 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Andrew Asa |
| Credentials | D.C. |
| Telephone Number | 6152696355 |
NPI Number Detail
| NPI Number | 1700062411 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 4535 Harding Pike Ste 210 |
|---|---|
| City | Nashville |
| State | Tennessee (TN) |
| Post Code | 372052120 |
| Phone Number | 6152696355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internist |
|---|---|
| Taxonomy | 111Ni0900X |
| Licence No | 1894 |
|
Definition: The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4204756 | TN | BLUECROSS BLUESHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Lifestyle Medical Group, Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Lifestyle Medical Group, Pllc has been assigned the NPI (National Provider Identifier) 1700062411. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Lifestyle Medical Group, Pllc's facilities are situated?
The facilities of Lifestyle Medical Group, Pllc are physically located at the following address: 4535 Harding Pike Ste 210, Nashville, TN, 372052120.
What is Lifestyle Medical Group, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lifestyle Medical Group, Pllc is Internist, and the taxonomy classification code that categorizes this area of expertise is 111Ni0900X.
On what date did Lifestyle Medical Group, Pllc receive its 1700062411 assignment from the Centers for Medicare & Medicaid Services?
The Lifestyle Medical Group, Pllc was assigned its 1700062411 on 2008-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lifestyle Medical Group, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lifestyle Medical Group, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-03.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC