Organization Name: | TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER PLLC |
NPI Number: | 1841471216 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLYDE OBRIEN SOUTHWELL (PHYSICIAN/MEDICAL DIRECTOR) |
Mailing Address: | 353 New Shackle Island Rd Suite 140 C Hendersonville |
State: | TN US |
Postal Code: | 370752379 |
Phone Number: | 6158222214 |
Fax Number: | 6158226419 |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 43085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |