Mid-state Gastroenterology, Pllc, NPI 1265554091
Specialist in Murfreesboro, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1265554091
NPI Entity Type Organization
Provider Name Mid-state Gastroenterology, Pllc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 517 Highland Ter, Ste B, Murfreesboro, TN, US
Provider Mailing Address Po Box 11209, Murfreesboro, TN, US, 371290025
Is Sole Proprietor? No
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Organization Official

Official Name M.A. Rosalind Brook Burnett
Official Position PRACTICE MANAGER
Phone 615-896-6996

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

License No. MD0000026198
License State TN
Description An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other Organization Name

Sunil Sarvaria MD
Former Legal Business Name

Business Address

Mid-state Gastroenterology, Pllc
517 Highland Ter
Ste B

Murfreesboro, TN, US

Phone: 615-896-6996
Fax: 615-896-6985

Mailing Address

Mid-state Gastroenterology, Pllc
Po Box 11209
Murfreesboro, TN, US
ZIP 371290025
Phone: 615-896-6996
Fax: 615-896-6985

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00269512 TN RAILROAD MEDICARE 01
3730229 TN MEDICAID 05

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NPI Name Taxonomy Address

1417615469

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FNP-BC Misty Renee Nichols

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Taylor Woods

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MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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