Provider Demographics
NPI:1952581191
Name:PLANNED PARENTHOOD OF MIDDLE AND EAST TENNESSEE
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF MIDDLE AND EAST TENNESSEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-345-0952
Mailing Address - Street 1:50 VANTAGE WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1523
Mailing Address - Country:US
Mailing Address - Phone:615-345-0952
Mailing Address - Fax:615-345-0958
Practice Address - Street 1:412 DR DB TODD JR BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2838
Practice Address - Country:US
Practice Address - Phone:615-321-7216
Practice Address - Fax:615-320-5233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility