Provider Demographics
NPI:1740931252
Name:TOP MEDICAL GROUP PC
Entity type:Organization
Organization Name:TOP MEDICAL GROUP PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:DICORLETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-893-0790
Mailing Address - Street 1:1620 GATEWAY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2275
Mailing Address - Country:US
Mailing Address - Phone:813-931-0000
Mailing Address - Fax:813-709-7162
Practice Address - Street 1:1832 WARD DR STE 102
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0570
Practice Address - Country:US
Practice Address - Phone:615-893-0790
Practice Address - Fax:615-893-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty