Provider Demographics
NPI:1205982329
Name:MIDDLE TN WOMENS HEALTH GROUP
Entity type:Organization
Organization Name:MIDDLE TN WOMENS HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-381-3030
Mailing Address - Street 1:808 JENLAND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-1801
Mailing Address - Country:US
Mailing Address - Phone:931-381-3030
Mailing Address - Fax:931-381-6220
Practice Address - Street 1:808 JENLAND DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-1801
Practice Address - Country:US
Practice Address - Phone:931-381-3030
Practice Address - Fax:931-381-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3706413Medicare ID - Type Unspecified