Provider Demographics
NPI:1972267326
Name:SEVEN SPRINGS ORTHOPAEDICS, PC
Entity Type:Organization
Organization Name:SEVEN SPRINGS ORTHOPAEDICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:TULLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-370-9992
Mailing Address - Street 1:317 SEVEN SPRINGS WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4576
Mailing Address - Country:US
Mailing Address - Phone:615-370-9992
Mailing Address - Fax:615-370-9665
Practice Address - Street 1:1047 GLENBROOK WAY STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1308
Practice Address - Country:US
Practice Address - Phone:615-553-5000
Practice Address - Fax:615-447-3687
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEVEN SPRINGS ORTHOPEDICS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty