Advanced Wellness Systems, LLC
Organization Active NPI Family Medicine Physician · Nashville, TN
NPI 1073563995 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073563995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11582 (TN)
- Legal business name
- ADVANCED WELLNESS SYSTEMS, LLC
- Practice address
- 176 Thompson LN
Suite 100
Nashville, TN 37211-2448 - Phone
- (615) 331-1973
- Fax
- (615) 331-1545
- NPI assigned
- May 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edmund S. Lane, M.D.
- Title
- Medical Director
- Phone
- (615) 331-1973
Practitioners 1
-
Edmund Lane, MD
National Provider Directory
Locations
176 Thompson Ln
Ste 100
Nashville, TN 37211
Phone (615) 331-1973
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 11582 | TN | Yes |
Addresses
Primary practice location
176 Thompson LN
Suite 100
Nashville, TN 37211-2448
Mailing address
176 Thompson LN
Suite 100
Nashville, TN 37211-2448
Phone (615) 331-1973
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All providers in Nashville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.