Provider Demographics
NPI:1972975258
Name:TENNESSEE FERTILITY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:TENNESSEE FERTILITY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:INDERBIR
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-550-4922
Mailing Address - Street 1:5000 MERIDIAN BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6681
Mailing Address - Country:US
Mailing Address - Phone:615-550-7362
Mailing Address - Fax:615-550-7362
Practice Address - Street 1:9160 CAROTHERS PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6688
Practice Address - Country:US
Practice Address - Phone:615-550-7362
Practice Address - Fax:615-550-7362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty