Provider Demographics
NPI:1417399460
Name:NATIONAL CENTER FOR PELVIC
Entity Type:Organization
Organization Name:NATIONAL CENTER FOR PELVIC
Other - Org Name:CENTER FOR PELVIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:JARNAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-371-5472
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-284-4664
Mailing Address - Fax:
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:DR SUITE 205
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-371-5472
Practice Address - Fax:615-284-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16784174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty