Provider Demographics
NPI:1841471216
Name:TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC
Entity type:Organization
Organization Name:TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLYDE
Authorized Official - Middle Name:OBRIEN
Authorized Official - Last Name:SOUTHWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FCCP
Authorized Official - Phone:615-822-2214
Mailing Address - Street 1:102 WESSINGTON PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3085
Mailing Address - Country:US
Mailing Address - Phone:615-822-2214
Mailing Address - Fax:615-822-6519
Practice Address - Street 1:102 WESSINGTON PL
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3085
Practice Address - Country:US
Practice Address - Phone:615-822-2214
Practice Address - Fax:615-822-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty