| Organization Name: | ADVANCED MEDICAL OF COOL SPRINGS PLLC |
| NPI Number: | 1083059372 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY MICELI (PRESIDENT) |
| Mailing Address: | 9200 Carothers Pkwy Suite 103 Franklin |
| State: | TN US |
| Postal Code: | 370676353 |
| Phone Number: | 6154148459 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2013 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD31654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |