Whalio Doctors

NPI 1669778338

Stones River Regional Independent Practice Association

Organisation Exclusive Provider Organization Murfreesboro, TN

Practice location

Address
1620 Gateway Blvd STE 102, Murfreesboro, TN 37129
Phone
(615) 869-0030
Fax
(615) 869-0040

Authorised official

Name
Susan Vandagriff
Title
Credentialing Manager
Phone
(615) 869-0031

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1669778338
Entity type
Organization
NPI issued
28 Jan 2011
Record last updated
20 Dec 2024

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.