Provider Demographics
NPI:1356515779
Name:PARISH FAMILY MEDICINE
Entity type:Organization
Organization Name:PARISH FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-865-1881
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE 670
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-865-1881
Mailing Address - Fax:615-865-4295
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE 670
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-865-1881
Practice Address - Fax:615-865-4295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42966261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care