Organization · Type 2 NPI
Pontchartrain Medical Group, A Professional Corporation
Addiction Medicine (Psychiatry & Neurology) Physician · Brentwood, TN
Practice location
200 Powell Pl, Attn: Legal Department
Brentwood, TN 37027-7514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1356704357
Pontchartrain Medical Group, A Professional Corporation's National Provider Identifier is 1356704357, issued on Mar 29, 2016. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Brentwood, TN. The record was last updated on Aug 25, 2021.