Provider Demographics
NPI:1093198244
Name:MUSIC CITY HEALTH CENTER PHYSICAL MEDICINE PLLC
Entity Type:Organization
Organization Name:MUSIC CITY HEALTH CENTER PHYSICAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-239-8773
Mailing Address - Street 1:842 CONFERENCE DR
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1929
Mailing Address - Country:US
Mailing Address - Phone:615-881-2607
Mailing Address - Fax:
Practice Address - Street 1:842 CONFERENCE DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1929
Practice Address - Country:US
Practice Address - Phone:615-881-2607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty