Basic Information
| Provider Information | |||||||||
| NPI: | 1508030859 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FERRELL | ||||||||
| FirstName: | GEORGIA | ||||||||
| MiddleName: | YOWELL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 GREAT CIRCLE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372281317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152845185 | ||||||||
| FaxNumber: | 6152843147 | ||||||||
| Practice Location | |||||||||
| Address1: | 2010 CHURCH ST | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372032012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152845185 | ||||||||
| FaxNumber: | 6152843147 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2008 | ||||||||
| LastUpdateDate: | 11/12/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 49117 | TN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 6022909 | 01 | TN | BLUE CROSS/BLUE SHIELD | OTHER |