Basic Information
| Provider Information | |||||||||
| NPI: | 1336779974 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VERDI ONCOLOGY TENNESSEE, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 FRANKLIN RD FL 3 | ||||||||
| Address2: | ATTN. PHYSICIAN BUSINESS SOLUTIONS | ||||||||
| City: | BRENTWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370275596 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153092636 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2004 HAYES ST STE 720 | ||||||||
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| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152842310 | ||||||||
| FaxNumber: | 6152842385 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2020 | ||||||||
| LastUpdateDate: | 01/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | BUCK | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF REVENUE CYCLE | ||||||||
| AuthorizedOfficialTelephone: | 4072598994 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.