Whalio Doctors

NPI 1013266303

Crestmoor Surgical Associates PLLC

Organisation Specialist Nashville, TN

Practice location

Address
2103 Crestmoor Rd, Nashville, TN 37215-2614
Phone
(615) 921-2100
Fax
(615) 921-2101

Authorised official

Name
James J Wendel
Title
Owner
Phone
(615) 921-2100

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 36486 (TN)

Registry record

NPI
1013266303
Entity type
Organization
NPI issued
3 Sep 2012
Record last updated
5 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.