Provider Demographics
NPI:1952956500
Name:AMED MEDICAL GROUP PLLC
Entity Type:Organization
Organization Name:AMED MEDICAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/SECRETARY/ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:DILMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:615-454-6986
Mailing Address - Street 1:4536 NOLENSVILLE PIKE STE F
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4786
Mailing Address - Country:US
Mailing Address - Phone:615-454-6986
Mailing Address - Fax:877-596-7454
Practice Address - Street 1:4536 NOLENSVILLE PIKE STE F
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4786
Practice Address - Country:US
Practice Address - Phone:615-454-6986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty