Provider Demographics
NPI:1841537073
Name:CENTER FOR INFLAMMATORY DISEASE, PC
Entity type:Organization
Organization Name:CENTER FOR INFLAMMATORY DISEASE, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-321-3277
Mailing Address - Street 1:2001 CHARLOTTE AVE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2032
Mailing Address - Country:US
Mailing Address - Phone:615-321-3277
Mailing Address - Fax:615-321-3166
Practice Address - Street 1:2001 CHARLOTTE AVE
Practice Address - Street 2:SUITE #102
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2032
Practice Address - Country:US
Practice Address - Phone:615-321-3277
Practice Address - Fax:615-321-3166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F49597Medicare UPIN