Provider Demographics
NPI:1669013363
Name:STW PULMONARY LLC
Entity Type:Organization
Organization Name:STW PULMONARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:HAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-964-5864
Mailing Address - Street 1:4230 HARDING PIKE STE 503
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2098
Mailing Address - Country:US
Mailing Address - Phone:615-964-5864
Mailing Address - Fax:615-269-7359
Practice Address - Street 1:4230 HARDING PIKE STE 503
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2098
Practice Address - Country:US
Practice Address - Phone:615-964-5864
Practice Address - Fax:615-269-7359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site