Provider Demographics
NPI:1043521925
Name:ADVANCED MEDICAL CONSULTANTS TWO LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL CONSULTANTS TWO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-824-4400
Mailing Address - Street 1:181 E MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3895
Mailing Address - Country:US
Mailing Address - Phone:615-824-4400
Mailing Address - Fax:
Practice Address - Street 1:181 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3895
Practice Address - Country:US
Practice Address - Phone:615-824-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty