OrganizationActive
Advanced Wellness Systems, LLC
NPI 1073563995 · Family Medicine Physician · Nashville, TN
Provider details
- NPI number
- 1073563995
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Edmund Lane, Medical Director
- License
- 11582 (TN)
Practice location
176 Thompson Ln
Suite 100
Nashville, TN 37211-2448
Phone: (615) 331-1973
Fax: (615) 331-1545
Mailing address
176 Thompson Ln
Nashville, TN 37211-2448
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.