Provider Demographics
NPI:1972847853
Name:PRACTICE MANAGEMENT ASSOCIATES NASHVILLE LLC
Entity Type:Organization
Organization Name:PRACTICE MANAGEMENT ASSOCIATES NASHVILLE LLC
Other - Org Name:AMC OF NASHVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:OF
Authorized Official - Last Name:SHAHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-970-6260
Mailing Address - Street 1:446 METROPLEX DR
Mailing Address - Street 2:SUITE A-200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3186
Mailing Address - Country:US
Mailing Address - Phone:615-970-6260
Mailing Address - Fax:
Practice Address - Street 1:446 METROPLEX DR
Practice Address - Street 2:SUITE A-200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3186
Practice Address - Country:US
Practice Address - Phone:615-970-6260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty