NPI 1164557856

Southstreet Family Medical Center

Organisation Preferred Provider Organization Nashville, TN

Practice location

Address: 2000 Church St, Nashville, TN 37236-4400
Phone: (615) 730-3758
Fax: (615) 942-7666
Mailing address: 1900 Church St STE 324, Nashville, TN 37203-2234

Authorised official

Name: Sl Lampkin
Title: Owner
Phone: (615) 254-1786

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MD13877 (TN)

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Registry record

NPI: 1164557856
Entity type: Organization
NPI issued: 22 Feb 2007
Record last updated: 3 Aug 2022

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.