| Organization Name: | HEALTH HEROES OF TENNESSEE, INC. |
| NPI Number: | 1932523388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA PORTER-DI SALVO (PARTNER/PRESIDENT) |
| Mailing Address: | 1161 21st Ave S D-7235 Nashville |
| State: | TN US |
| Postal Code: | 372322581 |
| Phone Number: | 2564265389 |
| Fax Number: | 8886473731 |
| NPI Enumeration Date: | 02/05/2014 |
| NPI Last Update Date: | 09/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD0000040964 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |