Basic Information
| Provider Information | |||||||||
| NPI: | 1316155757 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WHETSTONE | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | RODWELL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | ONE VANTAGE WAY | ||||||||
| Address2: | SUITE B240 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372288771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153294020 | ||||||||
| FaxNumber: | 6153299479 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 N HIGHLAND AVENUE | ||||||||
| Address2: | MIDDLE TENNESSEE MEDICAL CENTER EMERGENCY DEPT | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371301515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153271818 | ||||||||
| FaxNumber: | 6153299479 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2007 | ||||||||
| LastUpdateDate: | 07/03/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 200700515 | NC | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 43613 | TN | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 5907460 | 05 | NC | MEDICAID |